Individual
KAVITA K. RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2507A SHAKESPEARE ST, HOUSTON, TX 77030-1011
(713) 560-9640
Mailing address
2507A SHAKESPEARE ST, HOUSTON, TX 77030-1011
(713) 560-9640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034609
TX
207W00000X
Ophthalmology Physician
Primary
P6894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325837801 (MDACC)
—
TX
01
—
8EA143
BCBS (MDACC)
TX
Enumeration date
10/06/2009
Last updated
03/05/2014
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