| Doctor Name: | MALLAPUR S RAO |
| NPI Number: | 1417975723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | F2412 |
| Business Practice Address: | 1645 N Town East Blvd Suite 174 Mesquite, TX - 751504158 |
| Business Phone Number: | 9722705549 |
| Business Fax Number: | 9722705558 |
| Mailing Address: | 9229 Lyndon B Johnson Fwy, Suite 250 DALLAS |
| State: | TX |
| Postal Code: | 752433405 |
| Phone Number: | 9727393097 |
| Fax Number: | 9727392673 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F2412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |