Provider Demographics
NPI:1881894350
Name:RAO, KRISHNASREE KASUGANTI (MD)
Entity type:Individual
Prefix:
First Name:KRISHNASREE
Middle Name:KASUGANTI
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPT. OF INTERNAL MEDICINE/CARDIOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-2161
Practice Address - Fax:804-828-5566
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2022-12-30
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Provider Licenses
StateLicense IDTaxonomies
VA0101258903207R00000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine