Provider Demographics
NPI:1619906260
Name:RAO, ARUN P (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:P
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 1:7614 JACQUE RD
Mailing Address - Street 2:STE C
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-7195
Mailing Address - Country:US
Mailing Address - Phone:423-408-7220
Mailing Address - Fax:423-408-7405
Practice Address - Street 1:7614 JACQUE RD
Practice Address - Street 2:STE C
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7195
Practice Address - Country:US
Practice Address - Phone:423-408-7220
Practice Address - Fax:423-408-7405
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35444207RC0001X, 207RC0000X
VA0101258460207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5864798Medicaid
KY6403595900Medicaid
TN3865271Medicaid
TN621112685OtherUNITED HEALTHCARE
GA060064496Medicaid
TN621112685OtherUNITED HEALTHCARE
VA5864798Medicaid
TN3865271Medicare PIN