Individual
DR. MURALIDHARA G RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
3125 LAKEVIEW CIR, LEAVENWORTH, KS 66048-4972
(913) 651-5597
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
04-18161
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26993021
BLUE SHIELD KANSAS CITY
KS
01
—
442299
HEALTHLINK
KS
01
—
7290108
AETNA
KS
Enumeration date
06/14/2006
Last updated
12/20/2007
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