Individual
AMBIKA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6439 GARNERS FERRY ROAD, BLDG 100, RM5C100B, COLUMBIA, SC 29209-1613
(803) 776-4000
(803) 647-5714
Mailing address
6439 GARNERS FERRY ROAD, WJB DORN VA MEDICAL CENTER, COLUMBIA, SC 29209-1613
(803) 776-4000
(803) 647-5714
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
34359
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
7327
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019560
—
NV
05
—
100500484
—
NV
05
—
343596
—
SC
01
—
AA86152603
MEDICARE PTAN
SC
Enumeration date
01/04/2006
Last updated
03/07/2023
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