Rao, Radhika Chenumolu

Rao, Radhika Chenumolu is an individual health care provider with primary practice located at 2850 Paces Ferry Rd Se Suite 460, Atlanta GA 30339-5719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rao, Radhika Chenumolu can be contacted via phone (678) 556-4950.

Contact Information

Primary practice address
2850 Paces Ferry Rd Se Suite 460 Atlanta GA 30339-5719
Fax: (678) 556-4951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 053392 Georgia

Profile Details

NPI number 1205807104
LBN Legal business name Rao, Radhika Chenumolu
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 26th, 2019 - about 5 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 1205807104 NPPES
Georgia MEDICAID 836680261A

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