Provider Demographics
NPI:1417925397
Name:RAO, KRISHNA M (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNA
Middle Name:M
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 CANAL VIEW BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2808
Mailing Address - Country:US
Mailing Address - Phone:585-338-2700
Mailing Address - Fax:585-242-9663
Practice Address - Street 1:140 CANAL VIEW BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2808
Practice Address - Country:US
Practice Address - Phone:585-338-2700
Practice Address - Fax:585-242-9663
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY186635207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001154317OtherUNITED HEALTHCARE
9682192OtherGHI
RC60186635OtherRCIPA
000524207002OtherHEALTH NOW LINDEN OAKS
005242071OtherCOMM BLUE/BCBSWNY
NY01482773Medicaid
MD429YOtherPREFERRED CARE
301135OtherWELLCARE
PO10186635OtherGRIPA
PO10186635OtherEXCELLUS
4469775OtherAETNA
92724412OtherTRICARE/CHAMPUS
005242071OtherHEALTH NOW PARNALL
110091403OtherRAILROAD MEDICARE
6890OtherBCBS
PO10186635OtherGRIPA
PO10186635OtherGRIPA