Rao, Gadam M

Rao, Gadam M is an sole proprietor health care provider with primary practice located at 1718 10Th St , Wichita Falls TX 76301-5053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rao, Gadam M can be contacted via phone (940) 761-2229.

Contact Information

Primary practice address
1718 10Th St Wichita Falls TX 76301-5053
Fax: (940) 761-2220
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K1634 Texas

Profile Details

NPI number 1871537431
LBN Legal business name Rao, Gadam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Nov 2nd, 2011 - about 13 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 1871537431 NPPES
Texas Other 0048AR BLUE CROSS BLUE SHIELD
Texas MEDICAID 092131401 BLUE CROSS BLUE SHIELD
Texas MEDICAID 092131402 BLUE CROSS BLUE SHIELD
Texas Other 8AJ053 BLUE CROSS BLUE SHIELD
Texas Other 200532013 BLUE CROSS BLUE SHIELD

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