Rao, Rajaram

Rao, Rajaram is an individual health care provider with primary practice located at 10 Graham Rd W , Ithaca NY 14850-1055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rao, Rajaram can be contacted via phone (607) 257-2323.

Contact Information

Primary practice address
10 Graham Rd W Ithaca NY 14850-1055
Phone: (607) 257-2323
Fax: (607) 266-7341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 132414 New York

Profile Details

NPI number 1548242159
LBN Legal business name Rao, Rajaram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1548242159 NPPES
Other 4215455 AETNA MANAGED CHOICE
Other 6485 AETNA MANAGED CHOICE
Other V018315 AETNA MANAGED CHOICE
Other 07337 AETNA MANAGED CHOICE
Other 000910783001 AETNA MANAGED CHOICE
MEDICAID 00467643 AETNA MANAGED CHOICE

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