Individual
THOTA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5166
(317) 880-8484
(317) 880-0498
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5166
(317) 880-8484
(317) 880-0498
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01037248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330980
—
IN
Enumeration date
08/31/2006
Last updated
03/16/2021
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