Provider Demographics
NPI:1801095435
Name:RAO, NAGESH P (PHD)
Entity type:Individual
Prefix:PROF
First Name:NAGESH
Middle Name:P
Last Name:RAO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:NAGESHWARA
Other - Middle Name:
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1000 VETERAN AVE
Mailing Address - Street 2:ROOM 22-26 REHAB BLDG, UCLA CYTOGENETICS LABORATORY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2704
Mailing Address - Country:US
Mailing Address - Phone:310-794-1287
Mailing Address - Fax:310-794-5099
Practice Address - Street 1:1000 VETERAN AVE
Practice Address - Street 2:ROOM 22-26 REHAB BLDG, UCLA CYTOGENETICS LABORATORY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2704
Practice Address - Country:US
Practice Address - Phone:310-794-1287
Practice Address - Fax:310-794-5099
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADRM 00000050170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics