Provider Demographics
NPI:1518165448
Name:RAO, LLEWELYN JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:LLEWELYN
Middle Name:JOHN
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3401 ENTERPRISE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7341
Mailing Address - Country:US
Mailing Address - Phone:216-831-5700
Mailing Address - Fax:330-831-1959
Practice Address - Street 1:3401 ENTERPRISE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7341
Practice Address - Country:US
Practice Address - Phone:216-831-5700
Practice Address - Fax:330-831-1959
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2020-03-25
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Provider Licenses
StateLicense IDTaxonomies
NY247780207W00000X
OH35.095322207W00000X
OH35-095322207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3053958Medicaid