Provider Demographics
NPI:1669507372
Name:RAO, NANDITA (MD)
Entity Type:Individual
Prefix:DR
First Name:NANDITA
Middle Name:
Last Name:RAO
Suffix:
Gender:F
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:#150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:972-596-7801
Practice Address - Fax:972-596-9307
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5527207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154442103Medicaid
TXP00638019OtherRAILROAD MEDICARE
TX8W4992OtherBCBS
TX154442104Medicaid
TX8J4783Medicare PIN
TX154442103Medicaid
TXP00638019OtherRAILROAD MEDICARE