Individual
ROHIT RAVISHANKAR RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199883
PA
207RH0003X
Hematology & Oncology Physician
077112
GA
207RH0003X
Hematology & Oncology Physician
Primary
ME143637
FL
Other
Enumeration date
07/23/2011
Last updated
10/01/2020
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