Individual
ANGARA KONETI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-6356
(215) 707-3825
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-6356
(215) 707-3825
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD03607BL
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007438390001
—
PA
Enumeration date
10/14/2005
Last updated
03/30/2018
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