Provider Demographics
NPI:1154330025
Name:RAO, NAGARAJA AN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGARAJA
Middle Name:AN
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 TOWNSHIP ROAD 1534
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-7878
Mailing Address - Country:US
Mailing Address - Phone:740-886-8083
Mailing Address - Fax:
Practice Address - Street 1:1540 SPRING VALLEY DRIVE
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704
Practice Address - Country:US
Practice Address - Phone:304-429-6755
Practice Address - Fax:304-429-0290
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY317372084N0400X
WV179412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology