Desai G. Krishna-Rao

Primary specialty

SpecialistTaxonomy code 174400000X

License

35044964K Issued in OH

Legal business name

DESAI G. KRISHNA-RAO

Doing business as

Boardman Allergy Associates

Practice address

827 McKay CT
Suite C
Boardman, OH 44512-5790

Phone

(330) 726-6673

Fax

(330) 726-6673

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Desai Gopala Krishna-Rao, M.D.

Title

President

Phone

(330) 726-6673

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boardman Allergy Associates Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881720746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 MCKAY CT",
            "address_2": "SUITE C",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125790",
            "telephone_number": "330-726-6673",
            "fax_number": "330-726-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 MCKAY CT",
            "address_2": "SUITE C",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125790",
            "telephone_number": "330-726-6673",
            "fax_number": "330-726-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI G. KRISHNA-RAO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISHNA-RAO",
        "authorized_official_first_name": "DESAI",
        "authorized_official_middle_name": "GOPALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-726-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35044964K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardman Allergy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Boardman, OH
• Providers in Boardman, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.