Provider Demographics
NPI:1114335064
Name:RAO, GIRISH SADASHIVA (MD)
Entity Type:Individual
Prefix:DR
First Name:GIRISH
Middle Name:SADASHIVA
Last Name:RAO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8116 GOOD LUCK RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3502
Mailing Address - Country:US
Mailing Address - Phone:301-552-1200
Mailing Address - Fax:301-552-1202
Practice Address - Street 1:7700 OLD BRANCH AVE
Practice Address - Street 2:SUITE B201
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1628
Practice Address - Country:US
Practice Address - Phone:301-868-0150
Practice Address - Fax:301-868-0243
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2017-06-06
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Provider Licenses
StateLicense IDTaxonomies
MDD0078908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine