Provider Demographics
NPI:1194836080
Name:RAO, SWAROOP G (MD)
Entity Type:Individual
Prefix:
First Name:SWAROOP
Middle Name:G
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 W EDMONSTON DR
Mailing Address - Street 2:SUITE 504
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-762-7723
Mailing Address - Fax:301-762-3721
Practice Address - Street 1:50 W EDMONSTON DR
Practice Address - Street 2:SUITE 504
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:301-762-7723
Practice Address - Fax:301-762-3721
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD35792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCQ8640001OtherBCBS
MD417491700Medicaid
MDDC9VSGOtherBCBS
MD156699Medicare PIN
DCQ8640001OtherBCBS