Venkatarama Rao Koppaka M.D.

NPI 1790866333 - Internal Medicine - 207R00000X

NPI Details
NPI 1790866333
Gender Male
Enumeration Date 10/18/2006
Last Updated 06/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4209 28TH ST
8-91
LONG ISLAND CITY NY, 11101-4131, US
Phone (347) 396-2847
Fax (347) 396-4135
Business Location
4209 28TH ST
8-91
LONG ISLAND CITY NY, 11101-4131, US
Phone (347) 396-2847
Fax (347) 396-4135
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 248397-1
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According to our database, Dr. Venkatarama Rao Koppaka M.D. NPI is 1790866333, taxonomy code is 207R00000X and license number is 248397-1, license state is located at New York. Venkatarama Rao Koppaka M.D. physically located at 4209 28th St, Long Island City NY, 11101-4131. NPI Number Venkatarama Rao Koppaka M.D. has the Individual type.

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1790866333 NPI number is provided on an as is basis without warranty of any kind. 1790866333 is maintained by the National Plan & Provider Enumeration System. The contents of Venkatarama Rao Koppaka M.D. are for informational purposes only.