Kosaraju, Rao R
Kosaraju, Rao R is an sole proprietor health care provider with primary practice located at 1999 Mowry Ave Suite L, Fremont CA 94538-1731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kosaraju, Rao R can be contacted via phone (510) 373-3000.Contact Information
Primary practice address
1999 Mowry Ave Suite L
Fremont CA 94538-1731
Phone: (510) 373-3000
Fax: (510) 744-9959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 43123 | Arizona |
Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A30703 | California |
Profile Details
NPI number | 1528012325 |
---|---|
LBN Legal business name | Kosaraju, Rao R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2006 |
Last updated | Jul 24th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528012325 | NPPES |
California | MEDICAID | GR0043790 |
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