Individual
EDWIN J RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E. THIRD STREET, SUITE #C-735, CHATTANOOGA, TN 37403
(423) 778-9101
(423) 778-9190
Mailing address
975 E. THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-5630
(423) 778-3146
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
52906
TN
207RP1001X
Pulmonary Disease Physician
52906
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290007077
RAILROAD MEDICARE
PA
Enumeration date
08/11/2005
Last updated
02/08/2016
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