Provider Demographics
NPI:1275094096
Name:ADIKEY, ARCHANA RAO (MBBS)
Entity Type:Individual
Prefix:
First Name:ARCHANA RAO
Middle Name:
Last Name:ADIKEY
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10869 LEESA DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-3329
Mailing Address - Country:US
Mailing Address - Phone:901-634-5933
Mailing Address - Fax:
Practice Address - Street 1:CARILION ROANOKE MEMORIAL HOSPITAL
Practice Address - Street 2:1906 BELLEVIEW AVE
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014
Practice Address - Country:US
Practice Address - Phone:540-981-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program