Rao, Katikineni V
Rao, Katikineni V is an individual health care provider with primary practice located at 2100 4Th St , Jackson MI 49203-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rao, Katikineni V can be contacted via phone (517) 787-4332.Contact Information
Primary practice address
2100 4Th St
Jackson MI 49203-4518
Phone: (517) 787-4332
Fax: (517) 787-4861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301031905 | Michigan |
Profile Details
| NPI number | 1841286937 |
|---|---|
| LBN Legal business name | Rao, Katikineni V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 1st, 2009 - about 15 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 | 1841286937 | NPPES |
| Michigan | MEDICAID | 1379549 |
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