Individual
DR. MITESH B RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036131985
IL
207P00000X
Emergency Medicine Physician
138153
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
138153
CA
Other
Enumeration date
02/19/2007
Last updated
09/09/2015
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