Active NPI
Aroor Kinni Raja Rao, M.D.
- Vascular & Interventional Radiology Physician
- Princeton, WV
National Provider Identifier
1679572564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 17622
- Practice address
- 200 New Hope Rd
Quail Valley Medical Center No 7
Princeton, WV 24740-2155 - Phone
- (304) 487-1076
- Fax
- (304) 425-9499
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 17622 | WV | Primary |
Addresses
Primary practice location
200 New Hope Rd
Quail Valley Medical Center No 7
Princeton, WV 24740-2155
Mailing address
200 New Hope Rd
PO Box 1559
Princeton, WV 24740-2155
Phone (304) 487-1076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119955000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17622 | WV | MD | Vascular & Interventional Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1679572564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEW HOPE RD",
"address_2": "PO BOX 1559",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402155",
"telephone_number": "304-487-1076",
"fax_number": "304-425-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEW HOPE RD",
"address_2": "QUAIL VALLEY MEDICAL CENTER NO 7",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402155",
"telephone_number": "304-487-1076",
"fax_number": "304-425-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "AROOR",
"middle_name": "KINNI RAJA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WV",
"license": "17622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119955000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.