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Organization

RAMAKRISHNA PEMMARAJU RAO,M.D.PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAMA PEMMARAJU RAO M.D. (PRESIDENT)
(214) 551-1008
Entity
Organization

Contact information

Practice address
1600 N REDBUD BLVD STE 207, MCKINNEY, TX 75069-3235
(214) 551-1008
Mailing address
1600 N REDBUD BLVD STE 207, MCKINNEY, TX 75069-3235
(214) 551-1008

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060NR
BCBS
TX
Enumeration date
06/10/2008
Last updated
03/27/2012
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