Provider Demographics
NPI:1629368097
Name:RAO, MEGHA NIRANJAN (MD)
Entity Type:Individual
Prefix:MS
First Name:MEGHA
Middle Name:NIRANJAN
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MEGHA
Other - Middle Name:NIRANJAN
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1636 STELTON RD STE 301
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5346
Mailing Address - Country:US
Mailing Address - Phone:732-339-7575
Mailing Address - Fax:
Practice Address - Street 1:254 EASTON AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-745-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA09469500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program