Prabakar Kumar Rao in Saint Louis - Retina Specialist
Prabakar Kumar Rao - NPI 1417959115
Prabakar Kumar Rao is a Retina Specialist in Saint Louis, Missouri. Prabakar Kumar Rao practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Prabakar Kumar Rao is 1417959115. The last update date is 2022-12-09.
Prabakar Kumar Rao's current location address is 4901 Forest Park Ave, Saint Louis, Missouri. You can contact this provider via phone number 3143623937 and fax number 3143623725. The mailing address for Prabakar Kumar Rao is 4901 Forest Park Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Prabakar Kumar Rao |
|---|---|
| Address | 4901 Forest Park Ave, Saint Louis, Missouri |
| Phone Number | 3143623937 |
| Fax Number | 3143623725 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417959115 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2022-12-09 |
Provider Mailing Address Detail
| Address | 4901 Forest Park Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631081495 |
| Phone Number | 3143623937 |
| Fax Number | 3143623725 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 118703 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204824817 | MO | -- |
Post Comment/ Review Below
What is the Prabakar Kumar Rao's 1417959115?
The Prabakar Kumar Rao's NPI (National Provider Identifier) Number is 1417959115. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Prabakar Kumar Rao?
The Prabakar Kumar Rao is physically situated at 4901 Forest Park Ave, in the city of Saint Louis, state of MO, with the postal code 631081495.
What is Prabakar Kumar Rao's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Prabakar Kumar Rao is Retina Specialist, and the taxonomy code that classifies this field of practice is 207Wx0107X.
On what date did the Prabakar Kumar Rao receive its 1417959115 assignment from the Centers for Medicare & Medicaid Services?
The Prabakar Kumar Rao was assigned its 1417959115 by the Centers for Medicare & Medicaid Services on 2005-08-12.
When was the Prabakar Kumar Rao's information last updated?
The Prabakar Kumar Rao's information was last updated on 2022-12-09.