Rao, Takkallapelli D

Rao, Takkallapelli D is an individual health care provider with primary practice located at 1201 1St St S , Winter Haven FL 33880-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rao, Takkallapelli D can be contacted via phone (863) 297-1702.

Contact Information

Primary practice address
1201 1St St S Winter Haven FL 33880-3904
Phone: (863) 297-1702
Fax: (863) 291-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME88674 Florida

Profile Details

NPI number 1679552434
LBN Legal business name Rao, Takkallapelli D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated May 22nd, 2013 - about 13 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 1679552434 NPPES
Florida MEDICAID 279383100

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