National Provider Identifier
Rajaram Rao, MD
Rajaram Rao, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Ithaca, NY and a listed phone number of (607) 257-2323.
Profile Overview
- NPI
- 1548242159
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- November 18, 2005
- Last Updated
- July 08, 2007
Practice Location
- 10 Graham RD W
- Ithaca, NY 14850-1055
Phone: (607) 257-2323
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1548242159
- Entity Type
- Individual
- Last Name
- Rao
- First Name
- Rajaram
- Credential
- MD
- Mailing Street Address
- 10 Graham RD W
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1055
- Mailing Country
- US
- Mailing Phone
- (607) 257-2323
- Mailing Fax
- (607) 266-7341
- Practice Street Address
- 10 Graham RD W
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1055
- Practice Country
- US
- Practice Phone
- (607) 257-2323
- Practice Fax
- (607) 266-7341
- Enumeration Date
- November 18, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 4215455 (Aetna Managed Choice), 6485 (NY, Totalcare/Managed Ma), V018315 (Tricare), 07337 (Blue Shield/Hmo/Excellus), 000910783001 (Healthnow), 00467643 (NY)