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Individual

DR. ASHOK B. RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
58 TIMBER CREEK DR, CORDOVA, TN 38018-4233
(901) 566-1002
(901) 566-1951
Mailing address
58 TIMBER CREEK DR, CORDOVA, TN 38018-4233
(901) 566-1002
(901) 566-1951

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11792
TN
2084P0805X
Geriatric Psychiatry Physician
11792
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0094807
BLUE CROSS OF TN
TN
05
03779347
MS
05
120570001
AR
05
3021142
TN
Enumeration date
01/22/2007
Last updated
08/21/2007
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