Provider Demographics
NPI:1417918392
Name:RAO, ANUPAMA J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:J
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:31 COLERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2148
Mailing Address - Country:US
Mailing Address - Phone:609-294-5000
Mailing Address - Fax:
Practice Address - Street 1:1479 ROUTE 539
Practice Address - Street 2:UNIT 1B
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-9749
Practice Address - Country:US
Practice Address - Phone:609-294-5000
Practice Address - Fax:609-294-5115
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA71623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8439303Medicaid
NJH32128Medicare UPIN