Provider Demographics
NPI:1326091752
Name:RAO, BABU Y (MD)
Entity Type:Individual
Prefix:DR
First Name:BABU
Middle Name:Y
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 COUNTY LINE RD
Mailing Address - Street 2:APT #149
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-1173
Mailing Address - Country:US
Mailing Address - Phone:661-721-1122
Mailing Address - Fax:
Practice Address - Street 1:380 N RESERVATION RD
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-9673
Practice Address - Country:US
Practice Address - Phone:559-784-2316
Practice Address - Fax:559-791-2533
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC80148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE72810Medicare UPIN