Sriram Rao
Internal Medicine, Advanced Heart Failure and Transplant Cardiology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1144736620
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1144736620
- Entity type
- Individual (NPI-1)
- Name
- Sriram Rao
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2017
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | MD469099 | PA | Yes |
| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | LT000798 | PA |
Practice location
3400 Civic Center Blvd11-162 Pcam
Philadelphia, PA 19104-5127
Phone 215-615-4949 · Fax 215-615-0829
Mailing address
3400 Civic Center Blvd11-162 Pcam
Philadelphia, PA 19104-5127
Phone 215-615-4949 · Fax 215-615-0829
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