Provider Demographics
NPI:1285656330
Name:RAO, PRASAD H (MD)
Entity Type:Individual
Prefix:
First Name:PRASAD
Middle Name:H
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:960 JOE FRANK HARRIS PKWY SE
Mailing Address - Street 2:CARTERSVILLE MEDICAL CTR - HOSPITAL MEDICINE DEPT
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2129
Mailing Address - Country:US
Mailing Address - Phone:404-778-6382
Mailing Address - Fax:404-778-5334
Practice Address - Street 1:960 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:CARTERSVILLE MEDICAL CTR - HOSPITAL MEDICINE DEPT
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2129
Practice Address - Country:US
Practice Address - Phone:404-778-6382
Practice Address - Fax:404-778-5334
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2019-10-08
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Provider Licenses
StateLicense IDTaxonomies
GA055640207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI23282Medicare UPIN