Basic Information
| Provider Information | |||||||||
| NPI: | 1689960981 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAO | ||||||||
| FirstName: | KAVITHA | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46 JOYCE LN | ||||||||
| Address2: | |||||||||
| City: | BOXBOROUGH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017191535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784565789 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 HAMPTON RD UNIT 208 | ||||||||
| Address2: | |||||||||
| City: | EXETER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038334849 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037788522 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2011 | ||||||||
| LastUpdateDate: | 01/17/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | 255102 | MA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.