Individual
UDIPI P. RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 ADAMS AVE, SUITE 700, ODESSA, TX 79761-4656
(432) 334-0433
(432) 334-0414
Mailing address
500 ADAMS AVE, SUITE 700, ODESSA, TX 79761-4656
(432) 334-0433
(432) 334-0414
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F8631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103947 02
—
TX
01
—
8AJ292
BLUE CROSS BLUESHIELD
TX
Enumeration date
09/24/2007
Last updated
11/15/2010
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