Individual
SANKU S RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 S 5TH ST, SUITE 301, ENID, OK 73701-5825
(580) 234-0285
(580) 234-0590
Mailing address
330 S 5TH ST, SUITE 301, ENID, OK 73701-5825
(580) 234-0285
(580) 234-0590
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12331
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014700A
—
OK
Enumeration date
12/06/2006
Last updated
01/25/2011
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