Organization Active NPI

Shakuntala Rao, M.D., Inc.

  • Specialist
  • Mayfield Heights, OH
National Provider Identifier
1215154695
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35049527R Issued in OH
Legal business name
SHAKUNTALA RAO, M.D., INC.
Practice address
6770 Mayfield Rd
Suite 236
Mayfield Heights, OH 44124-2299
Phone
(440) 449-9471
Fax
(440) 449-7311
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Shakuntala Rao, M.D.
Title
President
Phone
(440) 449-9471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35049527R OH Primary

Addresses

Primary practice location

6770 Mayfield Rd
Suite 236
Mayfield Heights, OH 44124-2299

Mailing address

6770 Mayfield Rd
Suite 236
Mayfield Heights, OH 44124-2299
Phone (440) 449-9471

Other identifiers 1

IdentifierTypeStateIssuer
2451074MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1215154695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "SUITE 236",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-449-9471",
            "fax_number": "440-449-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "SUITE 236",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-449-9471",
            "fax_number": "440-449-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKUNTALA RAO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SHAKUNTALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-449-9471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35049527R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2451074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.