Individual
SADASHIVA RAO
Active
Individual
SADASHIVA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C10002022
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000097101
EDS
—
01
—
000114676
AMERIHEALTH PERS CHOICE H
—
01
—
0080634000
KEYSTONE EAST
—
01
—
061668248
BCBS
—
01
—
3138541
MAMSI
—
01
—
P00270590
RAILROAD MEDICARE
—
Enumeration date
09/11/2006
Last updated
03/11/2014
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