Provider Demographics
NPI:1710111885
Name:RAO, SAMIR S (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:S
Last Name:RAO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5550 FRIENDSHIP BOULEVARD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-652-7700
Mailing Address - Fax:301-907-6590
Practice Address - Street 1:5550 FRIENDSHIP BOULEVARD
Practice Address - Street 2:SUITE 130
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-652-7700
Practice Address - Fax:301-907-6590
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2013-07-03
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Provider Licenses
StateLicense IDTaxonomies
DCMD040885208200000X
VA0101253704208200000X
MD00075574208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery