Moravineni, Rao S.

Moravineni, Rao S. is an individual health care provider with primary practice located at 747 South 8Th Street Suite C, Griffin GA 30224-4880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Moravineni, Rao S. can be contacted via phone (770) 228-1767.

Contact Information

Primary practice address
747 South 8Th Street Suite C Griffin GA 30224-4880
Fax: (770) 228-7562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 51360 Georgia

Profile Details

NPI number 1669584447
LBN Legal business name Moravineni, Rao S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 25th, 2020 - about 4 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 1669584447 NPPES
Georgia MEDICAID 000944831H
Georgia MEDICAID 000944831I

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