Individual
NANDITA SHIVA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 235-2540
(315) 235-2171
Mailing address
2215 GENESEE ST, UTICA, NY 13501-5930
(315) 801-8848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2020022491
MO
208600000X
Surgery Physician
Primary
312897
NY
Other
Enumeration date
04/16/2015
Last updated
05/28/2025
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