Rao Hanumanth Andavolu, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA05440700 Issued in NJ

Practice address

3626 US Highway 1
Princeton, NJ 08540-5922

Phone

(609) 734-7600

Fax

(609) 452-7577

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathology Associates of Princeton

  • Anatomic Pathology & Clinical Pathology Physician
  • Plainsboro, NJ
  • NPI 1861571135
  NPD
• SSS Physical Medicine & Rehabilitation SVCS, LLC

  • Physical Medicine & Rehabilitation Physician
  • Princeton, NJ
  • NPI 1184892176
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1104862028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JUSTICE COURT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 US HIGHWAY 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-734-7600",
            "fax_number": "609-452-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDAVOLU",
        "first_name": "RAO",
        "middle_name": "HANUMANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "NJ",
            "license": "25MA05440700",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA05440700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amd Life Sciences LLC
• American Disabilities Corporation
• American Disabilities Corporation
• Dave Amin
• Anasen Health PC
• Margaret Anderson, B.A., CADC
• Mark Anderson, LSW
• Rashaunda L. Anderson, MS, NCC, LPC
• Darren Andrade, M.D.
• Barbara J Andrew, MSW LCSW LMFT

• Anatomic Pathology & Clinical Pathology Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.