Provider Demographics
NPI:1194714873
Name:RAO, BHARTHI B (MD,FACOG)
Entity type:Individual
Prefix:DR
First Name:BHARTHI
Middle Name:B
Last Name:RAO
Suffix:
Gender:F
Credentials:MD,FACOG
Other - Prefix:DR
Other - First Name:BHARTHI
Other - Middle Name:B
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1870 W GALENA BLVD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-4356
Mailing Address - Country:US
Mailing Address - Phone:630-859-6800
Mailing Address - Fax:
Practice Address - Street 1:2500 W FABYAN PKWY
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1572
Practice Address - Country:US
Practice Address - Phone:630-879-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36053485207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036053485Medicaid
IL04515143OtherBCBS#
ILD93925Medicare UPIN
IL390361023Medicare PIN
IL717740Medicare ID - Type Unspecified
IL390362023Medicare PIN
IL0727500001Medicare NSC