Individual
NISHA KADRI RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
720 45TH ST, MUNSTER, IN 46321-2818
(219) 852-2513
(219) 852-2443
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01082684A
IN
Other
Enumeration date
04/01/2014
Last updated
09/05/2023
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