Provider Demographics
NPI:1467444802
Name:RAO, AKHILESH (MD)
Entity Type:Individual
Prefix:DR
First Name:AKHILESH
Middle Name:
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 1:20455 LORAIN RD STE T1
Mailing Address - Street 2:AMERICARE KIDNEY INSTITUTE LLC
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-3495
Mailing Address - Country:US
Mailing Address - Phone:440-799-4224
Mailing Address - Fax:440-799-4228
Practice Address - Street 1:7225 OLD OAK BLVD
Practice Address - Street 2:BLDG B STE 313
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3339
Practice Address - Country:US
Practice Address - Phone:440-243-0574
Practice Address - Fax:440-243-0582
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2016-01-12
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
ARE4200207R00000X
OH35086958207R00000X
MO2013009359207RN0300X
OH35.086958207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2805085Medicaid
OHI21632Medicare UPIN
OHH353410Medicare PIN
OHI21632Medicare UPIN
OHP00638882OtherRAILROAD MEDICARE
OH7381371Medicare PIN
OHP00705989OtherRRCARE
OHP00705989OtherRRCARE