Suguna RS Rao, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C41903 Issued in CA

Practice address

81880 Dr Carreon Blvd
Suite A103
Indio, CA 92201

Phone

(760) 342-2255

Fax

(760) 342-2397

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Su Rao Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396767919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75275 SANTA FE TRAIL",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-341-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81880 DR CARREON BLVD",
            "address_2": "SUITE A103",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-342-2255",
            "fax_number": "760-342-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SUGUNA",
        "middle_name": "RS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C41903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C41903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SU",
            "last_name": "RAO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cassandra Nicole Ramsey
• Naeem A Rana, M.D.
• Jeremy Randall, B.A.
• Jasdeep Randhawa, MD
• Jaclyn Rose Rangel
• Ray of Hope Marriage and Family Counseling Prof. Corp. (Ray of Hope Counseling)
• Perla Patricia Ray, LMFT
• Rene Marie Razo
• Alessandra Felicia Rea
• Evelyn Reboseno Herrera

• Pediatrics Physician in Indio, CA
• Providers in Indio, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.