Individual
DR. PAWAN RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6846 BUCKLEY RD, NORTH SYRACUSE, NY 13212-4264
(315) 410-6400
(315) 410-6410
Mailing address
6846 BUCKLEY RD, NORTH SYRACUSE, NY 13212-4264
(315) 410-6400
(315) 410-6410
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
220651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365882
—
NY
Enumeration date
09/08/2006
Last updated
07/08/2007
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