Mendu, Damodara Rao

Mendu, Damodara Rao is an sole proprietor health care provider with primary practice located at 6555 Nw 9Th Ave Suite 209, Ft Lauderdale FL 33309-2067. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as his primary health care specialty. Mendu, Damodara Rao can be contacted via phone (954) 925-6533.

Contact Information

Primary practice address
6555 Nw 9Th Ave Suite 209 Ft Lauderdale FL 33309-2067
Phone: (954) 925-6533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X DI46724 Florida

Profile Details

NPI number 1396115630
LBN Legal business name Mendu, Damodara Rao
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2015
Last updated Sep 29th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396115630 NPPES
Florida Other DI46724 FLORIDA LICENSE

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