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PANDURANGA S RAO MB, BS

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1326120247

Individual Registrant:
 PANDURANGA S RAO MB, BS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1500 EAST MEDICAL CENTER DR 3RD FLOOR TAUBMAN CTR RECP C ANN ARBOR, MA 48109-5364 US
Tel: 734-936-5548  Fax: --

Contact information for business:
3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108 US
Tel: 734-936-2047  Fax: --

Registration Information:
NPI: 1326120247
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MI4301082768
Y207RN0300XAllopathic & Osteopathic Physicians
Internal Medicine
MI4301082768

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4550920MI05




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