Individual
SADASHIVA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 W 13TH ST STE 4, WILMINGTON, DE 19806-4054
(302) 571-8958
(302) 571-1320
Mailing address
1815 W 13TH ST STE 4, WILMINGTON, DE 19806-4054
(302) 571-8958
(302) 571-1320
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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