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NPI Code Detail

MEDICARE: DEV RAO CHETI MD

MEDICARE: DEV RAO CHETI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician2020-03752NC

General Provider Information

NPI Number : 1588074348
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEV RAO CHETI MD
Provider Business Mailing Address
First Line : PO BOX 23321
Second Line :
City : NEW YORK
State : NY
Zip : 10087-4321
Country : US
Telephone Number : 843-674-5000
Fax Number :
Provider Business Practice Location Address
First Line : 805 PAMPLICO HWY
Second Line :
City : FLORENCE
State : SC
Zip : 29505-6047
Country : US
Telephone Number : 248-898-6509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2014
Last Update Date : 05/10/2026

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