Rao, Madhava S

Rao, Madhava S is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rao, Madhava S can be contacted via phone (570) 703-4830.

Contact Information

Primary practice address
1800 Mulberry St Scranton PA 18510-2369
Fax: (570) 703-4835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD022769E Pennsylvania

Profile Details

NPI number 1902896210
LBN Legal business name Rao, Madhava S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902896210 NPPES
Pennsylvania MEDICAID 000783324
Pennsylvania Other 157430

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