Provider Demographics
NPI:1629103759
Name:RAO, SUDHIR R (MD)
Entity Type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:R
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2702 BACK ACRE CIR
Mailing Address - Street 2:SUITE 290B
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-7769
Mailing Address - Country:US
Mailing Address - Phone:301-703-8767
Mailing Address - Fax:301-703-8766
Practice Address - Street 1:2702 BACK ACRE CIR
Practice Address - Street 2:SUITE 290B
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-7769
Practice Address - Country:US
Practice Address - Phone:301-703-8767
Practice Address - Fax:301-703-8766
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME152091207LP2900X
VA0101252873207LP2900X
PAMD446984208VP0014X
MDD0067548207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine