Ramachandra N Rao, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25615 Issued in AZ

Practice address

18275 N 59TH Ave
Ste 142
Glendale, AZ 85308-1260

Phone

(602) 564-0110

Fax

(602) 564-0111

NPI assigned

Aug 4, 2005

Reactivated

Mar 27, 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

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1275534828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "142",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0110",
            "fax_number": "602-564-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "STE 142",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-564-0110",
            "fax_number": "602-564-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "RAMACHANDRA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2012-07-23",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428088",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Rangel
• Savanna Ranger, RN
• Robert Joseph Rankel, MD
• Roselyn Ranon, N.D.
• Stephanie Joy Ranum, PA-C
• Lauren Raponi
• Sam Mehrdad Rasanani, OTD
• Amanda Rascon
• Katelyn Marie Rashid
• Stephanie Jean Rasmussen, PHARMD

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.