C.B. Rao, M.D., P.C.
Organization Active NPI Pediatrics Physician · Ishpeming, MI
NPI 1508908674 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1508908674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301039874 (MI)
- Legal business name
- C.B. RAO, M.D., P.C.
- Practice address
- 901 Lake Shore Dr
Ishpeming, MI 49849-1367 - Phone
- (906) 485-5583
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Chintameni B Rao, M.D.
- Title
- Owner
- Phone
- (906) 488-5583
Corporate family (same tax ID) 1
Practitioners 1
-
Chintameni B Rao, M.D.
National Provider Directory
- Tax ID family
- CB Rao MD PC
Locations
2837 US Highway 41 W
Marquette, MI 49855
Phone (906) 225-3964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 4301039874 | MI | Yes |
Addresses
Primary practice location
901 Lake Shore Dr
Ishpeming, MI 49849-1367
Mailing address
2837 US Highway 41 W
Marquette, MI 49855-2252
Phone (906) 225-3964
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3505221052 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 101356473 | Medicaid | MI |
Other providers in Ishpeming, MI
- Justin Bosten
- Todd K Bostwick
- Danielle Brandenburg
- Brian E. Anderson, D.D.S., PLLC
- Jay Daniel Busser
- Wayne Bruce Carlson
- CB Rao MD PC
- Radha Chintamaneni
- Cindy'S Place
- John Dee Claud Jr.
All providers in Ishpeming, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.