Individual
GADAM M RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048AR
BLUE CROSS BLUE SHIELD
TX
05
—
092131401
—
TX
05
—
092131402
—
TX
01
—
200532013
PROFESSIONAL ASSOCIATION
TX
01
—
8AJ053
BCBS OF TX
TX
Enumeration date
06/15/2006
Last updated
11/02/2011
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