Individual
NARASINHA SITARAM RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5202 SW 11 STREET, PLANTATION, FL 33317
(954) 675-4854
(954) 587-8631
Mailing address
5202 SW 11TH ST, PLANTATION, FL 33317-4700
(954) 675-4854
(954) 587-8631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005797
GA
363AM0700X
Medical Physician Assistant
PA 9101142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9101142
PA
FL
Enumeration date
03/28/2007
Last updated
07/11/2018
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