Individual
BHAVANI PRAKASH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 PIERSON AVE, EDISON, NJ 08837-3139
(908) 757-6655
(908) 757-6653
Mailing address
PO BOX 7187, COLONIA, NJ 07067-7187
(908) 757-6655
(908) 757-6653
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA06751900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8159301
—
NJ
Enumeration date
09/01/2006
Last updated
06/11/2026
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