Rao, Rani Nagamallika

Rao, Rani Nagamallika is an individual health care provider with primary practice located at 4402 Francis Lewis Blvd Ste A , Bayside NY 11361-3043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Rao, Rani Nagamallika can be contacted via phone (718) 631-0500.

Contact Information

Primary practice address
4402 Francis Lewis Blvd Ste A Bayside NY 11361-3043
Phone: (718) 631-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 36086930 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 303181 New York

Profile Details

NPI number 1538135991
LBN Legal business name Rao, Rani Nagamallika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 17th, 2023 - about 3 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 1538135991 NPPES
Illinois MEDICAID 36086930

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