Individual
ISHU V RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 N BRENT ST, SUITE 503, VENTURA, CA 93003-2817
(805) 653-0101
(805) 643-6285
Mailing address
168 N BRENT ST, SUITE 503, VENTURA, CA 93003-2817
(805) 653-0101
(805) 643-6285
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
K6258
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A68864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039302702
—
TX
05
—
039302703
—
TX
01
—
P00147745
RR MCARE
TX
Enumeration date
05/31/2006
Last updated
11/11/2010
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