Provider Demographics
NPI:1184687402
Name:RAO, RANGA A (MD)
Entity Type:Individual
Prefix:DR
First Name:RANGA
Middle Name:A
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:370 MIDDLETOWN BLVD
Mailing Address - Street 2:OXFORD SQUARE STE 510
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1840
Mailing Address - Country:US
Mailing Address - Phone:215-750-6566
Mailing Address - Fax:215-750-7288
Practice Address - Street 1:370 MIDDLETOWN BLVD
Practice Address - Street 2:OXFORD SQUARE STE 510
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1840
Practice Address - Country:US
Practice Address - Phone:215-750-6566
Practice Address - Fax:215-750-7288
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021388E207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007634100009Medicaid
PA403186Medicare ID - Type Unspecified
PAE10287Medicare UPIN