Active NPI
Nagaraja A.N Rao, M.D.
- Neurology Physician
- Huntington, WV
National Provider Identifier
1154330025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 17941
- Practice address
- 1540 Spring Valley Drive
VA Medical Center
Huntington, WV 25704 - Phone
- (304) 429-6755
- Fax
- (304) 429-0290
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 31737 | KY | |
| Neurology Physician | 2084N0400X | 17941 | WV | Primary |
Addresses
Primary practice location
1540 Spring Valley Drive
VA Medical Center
Huntington, WV 25704
Mailing address
36 Township Road 1534
Proctorville, OH 45669-7878
Phone (740) 886-8083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31737 | KY | MD | Neurology Physician |
| 17941 | WV | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1154330025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 TOWNSHIP ROAD 1534",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456697878",
"telephone_number": "740-886-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DRIVE",
"address_2": "VA MEDICAL CENTER",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25704",
"telephone_number": "304-429-6755",
"fax_number": "304-429-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "NAGARAJA",
"middle_name": "A.N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "31737",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WV",
"license": "17941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.