Individual
ANIRUDH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140
(800) 836-7536
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231135
PA
Other
Enumeration date
05/23/2024
Last updated
06/07/2024
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