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General NPI Number Information
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NPI Number | 1972941318
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Entity Type | Organization
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Legal Business Name | SRINIVAS RAO MD PA
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 11221 KATY FWY STE 115
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City | HOUSTON
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State | TX
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Zip | 77079-2105
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Country | US
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Telephone | 281-888-1464
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Fax | 713-640-5938
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 800-991-6117
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Fax | 813-434-2023
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Authorized Official
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Title or Position | PRESIDENT
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Name | SRINIVAS P RAO
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Credential | MD
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Telephone | 713-240-4913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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