Sanjeeva Rao MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

018723GA Issued in GA

Legal business name

SANJEEVA RAO MD PC

Practice address

232 W 2ND St
Jackson, GA 30233-1907

Phone

(770) 775-4334

Fax

(770) 775-7573

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sanjeeva H Rao, MD

Title

Owner

Phone

(770) 775-4334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1760573216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W 2ND ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331907",
            "telephone_number": "770-775-4334",
            "fax_number": "770-775-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 2ND ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331907",
            "telephone_number": "770-775-4334",
            "fax_number": "770-775-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEVA RAO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SANJEEVA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-775-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "018723GA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00299989A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Jackson, GA
• Providers in Jackson, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.