Nagaraj S.L. Rao, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD032560E Issued in PA

Practice address

33 Main Dr
North Warren, PA 16365-5001

Phone

(814) 726-4317

Fax

(814) 726-4447

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1083646756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE LN",
            "address_2": "BOX 1056",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163451217",
            "telephone_number": "814-757-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN DR",
            "city": "NORTH WARREN",
            "state": "PA",
            "postal_code": "163655001",
            "telephone_number": "814-726-4317",
            "fax_number": "814-726-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "NAGARAJ",
        "middle_name": "S.L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD032560E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "080037545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Liu, M.D.
• Pennsylvania Department of Human Services
• Daniel Robertson Potter
• Asha Prabhu, MD
• Reynaldo Puesan, M.D.
• Andrea J Richard, D.O.
• Raineldo C Saquin, M.D.
• Steve Francis Sivak, PHARMD
• Promila Sood, M.D.
• Ardases Tomasian, M.D.

• All providers in North Warren, PA
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.