Individual
NAGAVENI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1970 7TH AVE, NEW YORK, NY 10026-1723
(212) 864-1500
(212) 864-0500
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
141334-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144398
—
NY
Enumeration date
07/25/2006
Last updated
09/25/2013
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