Provider Demographics
NPI:1083093488
Name:RAO, MICHAEL KRISHNA (MD, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KRISHNA
Last Name:RAO
Suffix:
Gender:M
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:405 N KUAKINI ST STE 1001
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6301
Mailing Address - Country:US
Mailing Address - Phone:808-457-4057
Mailing Address - Fax:866-591-8027
Practice Address - Street 1:405 N KUAKINI ST STE 1001
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6301
Practice Address - Country:US
Practice Address - Phone:808-457-4057
Practice Address - Fax:866-591-8027
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-21257208C00000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery