Organization
C.P. RAO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAMKURKISHTIAH P RAO MD (MD)
(315) 866-7766
Entity
Organization
Contact information
Practice address
19 W MAIN ST, MOHAWK, NY 13407-1024
(315) 866-7766
Mailing address
19 W MAIN ST, MOHAWK, NY 13407-1024
(315) 866-7766
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
150274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00803269
—
NY
Enumeration date
03/08/2007
Last updated
08/22/2020
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