Sujatha Rao M.D., P.C.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036111928 Issued in IL

Legal business name

SUJATHA RAO M.D., P.C.

Practice address

1390 Hope Dr
Carbondale, IL 62901-5306

Phone

(618) 529-0120

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sujatha A Rao, M.D.

Title

President

Phone

(618) 529-0120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhanu K Vakkalanka, M.D.

  • Medical Oncology Physician
  • Normal, IL
  • NPI 1578766796
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1124173273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 CINNEBAR PT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015203",
            "telephone_number": "618-529-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HOPE DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015306",
            "telephone_number": "618-529-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJATHA RAO M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-529-0120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036111928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "03932030",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111928",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stokes Institute of Urology, LLC
• Sam Stokes III, M.D.
• Dawn Marie Stowers, NP
• Stacy Marie Stratton, DT
• Michael A Stroud
• James Sullivan, MD
• Donald Charles Summerlin, DDS
• Dwayne Gail Summers, DMD
• Lynn A Suppan, CRNA
• Amy Marie Surburg, ANP

• Hematology & Oncology Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.