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1639142813

NPI Code Detail

MEDICARE: YASHODA DHRUVA RAO MD

MEDICARE: YASHODA DHRUVA RAO 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
1	207RN0300X	Nephrology Physician	MD044932E	PA
2	207R00000X	Internal Medicine Physician	MD044932E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	110031034	OTHER	PA	RAILROAD MEDICARE PBA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01941401	OTHER	PA	KEYSTONE
2	116993900	OTHER	PA	FEDERAL EMPLOYEES COMP
3	0473231	OTHER	PA	US HEALTHCARE
4	0998130	OTHER	PA	KEYSTONE SPECIALIST
5	38786	OTHER	PA	GEISINGER HEALTH PLAN
6	0000583466	OTHER	PA	BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	50047347	OTHER	PA	CAPITAL BLUE CROSS
10	020301000	OTHER	PA	FEDERAL BLACK LUNG

General Provider Information

NPI Number	:	1639142813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASHODA DHRUVA RAO MD

Provider Business Mailing Address
First Line	:	2901 JOLLY RD
Second Line	:
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-2324
Country	:	US
Telephone Number	:	610-272-8221
Fax Number	:	610-272-5655

Provider Business Practice Location Address
First Line	:	2901 JOLLY RD
Second Line	:
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-2324
Country	:	US
Telephone Number	:	610-272-8221
Fax Number	:	610-272-5655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	08/31/2021

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Directions to “ YASHODA DHRUVA RAO MD” Practice Location

Language	Start Address	Practice Location

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