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Individual

YASHODA T.R. RAO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1475 SAINT FRANCIS AVE, ST FRANCIS RADIATION THERAPY CTR, SHAKOPEE, MN 55379-3301
(952) 403-2031
(952) 403-2710
Mailing address
6950 FRANCE AVE S, MPLS RADIATION ONCOLOGY, EDINA, MN 55435-2025
(952) 920-4915
(952) 915-6091

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
21308
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105112
UCARE
MN
01
112511
PT CHOICE
MN
01
24-00157
MEDICA
MN
01
2400004
MEDICA PRIMARY
MN
01
25144
AMERICA'S PPO
MN
05
31687100
WI
01
50B51RA
BLUE CROSS/BLUE SHIELD
MN
01
963071011367
PREFERRED ONE
MN
01
HP14222
HEALTH PARTNERS
MN
Enumeration date
09/02/2005
Last updated
07/08/2007
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