Rao, Surya Prakash

Rao, Surya Prakash is an individual health care provider with primary practice located at 1404 S Ridgewood Ave , Edgewater FL 32132-2720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Rao, Surya Prakash can be contacted via phone (386) 258-8722.

Contact Information

Primary practice address
1404 S Ridgewood Ave Edgewater FL 32132-2720
Phone: (386) 258-8722
Fax: (386) 265-5928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME96830 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME96830 Florida

Profile Details

NPI number 1114975596
LBN Legal business name Rao, Surya Prakash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 12th, 2021 - about 3 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 1114975596 NPPES
Florida MEDICAID 281152900
Florida Other 94219

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