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Individual

JYON RAO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1147 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5545
(757) 460-1207
(757) 460-2135
Mailing address
1147 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5545
(757) 460-1207
(757) 460-2135

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
0101024421
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101024421
LIC
VA
Enumeration date
07/26/2005
Last updated
03/07/2023
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