Individual
KEITH D RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5109
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402520
MEDICA #
ND
01
—
0404078
MEDICA #
ND
01
—
10709
NDBS #
MN
01
—
142052
UCARE #
ND
01
—
15639
SIOUX VALLEY #
ND
05
—
16179
—
ND
01
—
29144RA
MNBS #
MN
05
—
424572500
—
ND
01
—
48684RA
MNBS #
ND
01
—
80949RA
MNBS #
ND
01
—
909828
AMERICA'S PPO/ARAZ #
ND
01
—
9357
NDBS #
ND
01
—
DA9011015577
PREFERRED ONE #
ND
01
—
HP19574
HEALTHPARTNERS #
ND
01
—
ND100010
LHS #
ND
Enumeration date
07/11/2006
Last updated
03/07/2023
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