Active NPI
Ravi Suryanarayan Rao, MD
- Surgery Physician
- Atlanta, GA
National Provider Identifier
1396993853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 002936
- Practice address
- 315 Boulevard NE
St. 224
Atlanta, GA 30312-1200 - Phone
- (404) 881-8020
- Fax
- (678) 553-3179
- NPI assigned
- Sep 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 002936 | GA | Primary |
Addresses
Primary practice location
315 Boulevard NE
St. 224
Atlanta, GA 30312-1200
Mailing address
315 Boulevard NE
St. 224
Atlanta, GA 30312-1200
Phone (404) 881-8020
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 |
|---|---|---|---|
| 002936 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1396993853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 BOULEVARD NE",
"address_2": "ST. 224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121200",
"telephone_number": "404-881-8020",
"fax_number": "678-553-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 BOULEVARD NE",
"address_2": "ST. 224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121200",
"telephone_number": "404-881-8020",
"fax_number": "678-553-3179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "RAVI",
"middle_name": "SURYANARAYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "002936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.