Kosaraju, Rao R

Kosaraju, Rao R is an sole proprietor health care provider with primary practice located at 1999 Mowry Ave Suite L, Fremont CA 94538-1731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kosaraju, Rao R can be contacted via phone (510) 373-3000.

Contact Information

Primary practice address
1999 Mowry Ave Suite L Fremont CA 94538-1731
Phone: (510) 373-3000
Fax: (510) 744-9959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 43123 Arizona
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A30703 California

Profile Details

NPI number 1528012325
LBN Legal business name Kosaraju, Rao R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jul 24th, 2015 - about 11 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 1528012325 NPPES
California MEDICAID GR0043790

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