Individual
SHISHIR RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 ZONAL AVE # 720, LOS ANGELES, CA 90089-0121
(520) 626-2761
(520) 626-6020
Mailing address
2020 ZONAL AVE STE 720, LOS ANGELES, CA 90089-0121
(323) 409-7184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009092
AZ
207R00000X
Internal Medicine Physician
R2958
AZ
207RP1001X
Pulmonary Disease Physician
Primary
20A19987
CA
Other
Enumeration date
04/08/2018
Last updated
04/23/2025
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