Individual
RAMESH KADEKOPPAL RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
389 FORGE RIDGE ROAD, HARROGATE, TN 37752
(423) 869-0725
(423) 869-9275
Mailing address
PO BOX 1788, KNOXVILLE, TN 37901-1788
(865) 549-4892
(865) 549-2762
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD21418
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30656101
—
TN
05
—
3065611
—
TN
05
—
3706129
—
TN
01
—
4152612
BCBS
TN
01
—
5618128
AETNA
TN
01
—
7323916
CIGNA
TN
01
—
TN0155
JOHN DEERE/UHC
TN
Enumeration date
02/22/2006
Last updated
04/20/2008
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