Organization Name: | V. RAO EMANDI MD PA |
NPI Number: | 1013103084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VENKATA RAO EMANDI (MEDICAL DIRECTOR) |
Mailing Address: | 13904 Lakeshore Blvd Ste 410 Hudson |
State: | FL US |
Postal Code: | 346671481 |
Phone Number: | 7278625489 |
Fax Number: | 7278620397 |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0203X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Therapeutic Radiology |
Taxonomy Definition: |