Individual
DR. DEEPTHI REDDY RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PNC PO BOX 31001-0698, PASADENA, CA 91110-0695
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
52206
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
52206
AZ
Other
Enumeration date
05/03/2010
Last updated
07/04/2022
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