Provider Demographics
NPI:1104916592
Name:GOVIND C.. RAO
Entity type:Organization
Organization Name:GOVIND C.. RAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GOVIND
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-843-4414
Mailing Address - Street 1:1 FRONT ST
Mailing Address - Street 2:NEENA RAO MEDICAL CENTER
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-843-4414
Mailing Address - Fax:518-843-4415
Practice Address - Street 1:1 FRONT ST
Practice Address - Street 2:NEENA RAO MEDICAL CENTER
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-843-4414
Practice Address - Fax:518-843-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty