Provider Demographics
NPI:1164632568
Name:RAO, SAILAJA SATTURU (MD)
Entity Type:Individual
Prefix:DR
First Name:SAILAJA
Middle Name:SATTURU
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 DOWNING CT
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2090
Mailing Address - Country:US
Mailing Address - Phone:732-277-9297
Mailing Address - Fax:
Practice Address - Street 1:495 THOMAS JONES WAY, SUITE 100
Practice Address - Street 2:BAXTER BUILDING II
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-524-4106
Practice Address - Fax:610-524-4168
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT183319207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020359660001Medicaid
PA118908T20Medicare PIN