Provider Demographics
NPI:1457465593
Name:RAO, RADHA M
Entity Type:Individual
Prefix:DR
First Name:RADHA
Middle Name:M
Last Name:RAO
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ANURADHA
Other - Middle Name:MADDALI
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2615 ROSEMARY CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9168
Mailing Address - Country:US
Mailing Address - Phone:713-436-3989
Mailing Address - Fax:
Practice Address - Street 1:2615 ROSEMARY CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9168
Practice Address - Country:US
Practice Address - Phone:713-436-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0531207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine