Provider Demographics
NPI:1699734533
Name:RAO, JYOTHI P (MD)
Entity type:Individual
Prefix:
First Name:JYOTHI
Middle Name:P
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10207 CERNY ST STE 306
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4887
Mailing Address - Country:US
Mailing Address - Phone:919-684-3600
Mailing Address - Fax:919-660-9201
Practice Address - Street 1:10207 CERNY ST STE 306
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4887
Practice Address - Country:US
Practice Address - Phone:919-684-3600
Practice Address - Fax:919-660-9201
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17129207RE0101X
NC2008-01296207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism