Provider Demographics
NPI:1528060472
Name:RAO, RAJESH SK (MD)
Entity type:Individual
Prefix:
First Name:RAJESH
Middle Name:SK
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:77 NELSON ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1944
Mailing Address - Country:US
Mailing Address - Phone:315-252-8838
Mailing Address - Fax:315-252-8843
Practice Address - Street 1:77 NELSON ST
Practice Address - Street 2:SUITE 240
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1944
Practice Address - Country:US
Practice Address - Phone:315-252-8838
Practice Address - Fax:315-252-8843
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2015-02-17
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Provider Licenses
StateLicense IDTaxonomies
NY254844207RP1001X, 207RC0200X, 207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02625047Medicaid
I23121Medicare UPIN
NYJ400007499Medicare PIN