Organization
DESAI G. KRISHNA-RAO
Active
Other names
Boardman Allergy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESAI GOPALA KRISHNA-RAO M.D. (PRESIDENT)
(330) 726-6673
Entity
Organization
Contact information
Practice address
827 MCKAY CT, SUITE C, BOARDMAN, OH 44512-5790
(330) 726-6673
(330) 726-6673
Mailing address
827 MCKAY CT, SUITE C, BOARDMAN, OH 44512-5790
(330) 726-6673
(330) 726-6673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35044964K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439145
—
OH
Enumeration date
02/26/2007
Last updated
08/22/2020
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