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Sujatha Rao M.d., P.c.
Hematology & Oncology Physician in Carbondale, Illinois
NPI 1124173273

Sujatha Rao M.d., P.c. is a Hematology & Oncology Physician based in Carbondale, IL and is specialized in Hematology & Oncology. Sujatha Rao M.d., P.c. practices in Carbondale, IL. The NPI Number for Sujatha Rao M.d., P.c. is 1124173273 and holds a License No. 036111928 (Illinois).

The current practice location address for Sujatha Rao M.d., P.c. is 1390 Hope Dr, Carbondale, IL and can be reached out via phone at 618-529-0120.

Location: 1390 Hope Dr, Carbondale, IL, 62901-5203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124173273
Provider Name
Sujatha Rao M.d., P.c.
Credential
Provider Entity Type
Organization
Address
1390 Hope Dr, Carbondale, IL, 62901-5203
Phone Number
618-529-0120
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03932030 01 IL BLUE CROSS BLUE SHIELD IL
036111928 05 IL
institution
Provider Business Practice Location Address Details
Address
1390 Hope Dr
City
Carbondale
State
Illinois
Zip
62901-5306
Phone Number
618-529-0120
Fax Number
person
Provider Business Mailing Address Details
Address
1390 Hope Dr
City
Carbondale
State
Illinois
Zip
62901-5306
Phone Number
618-529-0120
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036111928 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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