Provider Demographics
NPI:1164198636
Name:RAO, ASWATH NARAYAN (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ASWATH
Middle Name:NARAYAN
Last Name:RAO
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:DR
Other - First Name:BANGALORE V
Other - Middle Name:ASWATHNARAYAN
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:10322 E SNYDER CREEK PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8396
Mailing Address - Country:US
Mailing Address - Phone:520-380-6069
Mailing Address - Fax:
Practice Address - Street 1:THE BANGALORE HOSPITAL
Practice Address - Street 2:202, RV ROAD JAYANAGAR
Practice Address - City:BANGALORE
Practice Address - State:KARNATAKA
Practice Address - Zip Code:560004
Practice Address - Country:IN
Practice Address - Phone:804-118-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12283207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty