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Individual

SRINADH O RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9 RICHLAND MEDICAL PARK DR STE 110, COLUMBIA, SC 29203
(803) 434-7940
(803) 434-2262
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A79126
AK
2080P0202X
Pediatric Cardiology Physician
Primary
40830
SC
2080P0202X
Pediatric Cardiology Physician
A79126
CA
2080P0202X
Pediatric Cardiology Physician
M-11565
ID
2080P0202X
Pediatric Cardiology Physician
MD2012-0048
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
408302
SC
Enumeration date
11/21/2005
Last updated
10/01/2021
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