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NPI Code Detail

MEDICARE: HEMA NAGANEMI RAO M.D.

MEDICARE: HEMA NAGANEMI RAO M.D.
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
1207RH0000XHematology (Internal Medicine) PhysicianME0077699FL
2207RX0202XMedical Oncology PhysicianME0077699FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3900004111OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
146299OTHERFLBLUE CROSS BLUE SHIELD
2174262873OTHERFLTRICARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780665893
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEMA NAGANEMI RAO M.D.
Provider Business Mailing Address
First Line : 981 37TH PL
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6541
Country : US
Telephone Number : 772-539-2446
Fax Number :
Provider Business Practice Location Address
First Line : 981 37TH PLACE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6541
Country : US
Telephone Number : 772-539-2446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 04/18/2012

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