Provider Demographics
NPI:1295171668
Name:NUTI, RATHNA RAO (MD)
Entity type:Individual
Prefix:
First Name:RATHNA
Middle Name:RAO
Last Name:NUTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:239 GLEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4206
Mailing Address - Country:US
Mailing Address - Phone:214-738-6169
Mailing Address - Fax:
Practice Address - Street 1:4833 MEDICAL CENTER DR # 6E
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1898
Practice Address - Country:US
Practice Address - Phone:469-430-9380
Practice Address - Fax:469-242-9539
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4232207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine