Provider Demographics
NPI:1386643542
Name:RAO, KARUPARTHY SESHAGIRI (MD,)
Entity Type:Individual
Prefix:
First Name:KARUPARTHY
Middle Name:SESHAGIRI
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 1:6101 SWIFT CURRENT WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-2907
Mailing Address - Country:US
Mailing Address - Phone:410-496-7700
Mailing Address - Fax:410-922-7059
Practice Address - Street 1:5310 OLD COURT RD
Practice Address - Street 2:201
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-5243
Practice Address - Country:US
Practice Address - Phone:410-496-7700
Practice Address - Fax:410-922-7059
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD266502600Medicaid
P00150491OtherRRMC
P00150491OtherRRMC
MD889M660FMedicare ID - Type Unspecified