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
Phone: (678) 556-4950
Fax: (678) 556-4951
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205807104 | NPPES |
Georgia | MEDICAID | 836680261A |
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