Provider Demographics
NPI:1396032215
Name:RAO, VARUNI (DO)
Entity Type:Individual
Prefix:
First Name:VARUNI
Middle Name:
Last Name:RAO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 DALLAS PKWY # 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3529
Mailing Address - Country:US
Mailing Address - Phone:972-403-8184
Mailing Address - Fax:972-403-0685
Practice Address - Street 1:6201 DALLAS PKWY # 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3529
Practice Address - Country:US
Practice Address - Phone:972-403-8184
Practice Address - Fax:972-403-0685
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8130207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008045886Medicaid
CT008045886Medicaid