Rao, Pratibha P

Rao, Pratibha P is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Rao, Pratibha P can be contacted via phone (973) 429-6000.

Contact Information

Primary practice address
1 Bay Ave Montclair NJ 07042-4837
Phone: (973) 429-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07823300 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA07823300 New Jersey
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA07823300 New Jersey

Profile Details

NPI number 1346231263
LBN Legal business name Rao, Pratibha P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1346231263 NPPES
New Jersey MEDICAID 0075825

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