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General NPI Number Information
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NPI Number | 1336535699
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Entity Type | Individual
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Provider Name | RAMYA KRISHNA RAO MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 13400 JAMBOREE RD STE 200
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City | IRVINE
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State | CA
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Zip | 92602-2308
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Country | US
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Telephone | 714-263-9279
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1621
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City | SIERRA MADRE
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State | CA
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Zip | 91025-4621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C195695
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License Number State | CA
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