Individual
DR. VIJAYAKUMAR P RAO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 PHILADELPHIA DRIVE, DAYTON, OH 45406-1891
(937) 278-2612
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0446
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35077556
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183687
ANTHEM
OH
05
—
2178987
—
OH
05
—
6405969400
—
KY
Enumeration date
02/24/2006
Last updated
07/08/2007
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