Individual
RAJU RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 PINE LAKE RD, SUITE 111, LINCOLN, NE 68516-5497
(402) 420-7000
(402) 420-7240
Mailing address
201 S 68TH STREET PL STE 200, LINCOLN, NE 68510-2496
(402) 420-7000
(402) 420-7240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
19624
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079130413
—
NE
01
—
920001998
RAILROAD MEDICARE
NE
Enumeration date
08/21/2006
Last updated
04/28/2015
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