Provider Demographics
NPI:1518303585
Name:ERRABELLI, APTA RAO (MD)
Entity Type:Individual
Prefix:DR
First Name:APTA
Middle Name:RAO
Last Name:ERRABELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2123 AUBURN AVE STE 520
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-585-1300
Mailing Address - Fax:513-585-1358
Practice Address - Street 1:2123 AUBURN AVE STE 520
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-1300
Practice Address - Fax:513-585-1358
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD458579207R00000X
MO2018030701207R00000X
OH35.148746207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2018030701OtherMISSOURI LICENSE