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Surya Prakash Rao, MD
Cardiovascular Disease Physician in Edgewater, Florida
NPI 1114975596

Surya Prakash Rao is a Cardiovascular Disease Physician based in Daytona Beach, FL and is specialized in Cardiovascular Disease. Surya Prakash Rao practices in Edgewater, FL and has the professional credentials of MD. The NPI Number for Surya Prakash Rao is 1114975596 and holds a License No. ME96830 (Florida).

The current practice location address for Surya Prakash Rao is 1404 S Ridgewood Ave, Edgewater, FL and can be reached out via phone at 386-258-8722 and via fax at 386-265-5928.

Location: 1404 S Ridgewood Ave, Edgewater, FL, 32114-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114975596
Provider Name
Surya Prakash Rao
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1404 S Ridgewood Ave, Edgewater, FL, 32114-2321
Phone Number
386-258-8722
Fax Number
386-265-5928
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
281152900 05 FL
94219 01 FL BC/BS
institution
Provider Business Practice Location Address Details
Address
1404 S Ridgewood Ave
City
Edgewater
State
Florida
Zip
32132-2720
Phone Number
386-258-8722
Fax Number
386-265-5928
person
Provider Business Mailing Address Details
Address
1404 S Ridgewood Ave
City
Edgewater
State
Florida
Zip
32132-2720
Phone Number
386-258-8722
Fax Number
386-265-5928
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
ME96830 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
ME96830 (Florida)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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