Individual
TAKKALLAPELLI D RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 297-1702
(863) 291-6084
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 297-1702
(863) 291-6084
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME88674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279383100
—
FL
Enumeration date
01/11/2006
Last updated
05/22/2013
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