Provider Demographics
NPI:1780665893
Name:RAO, HEMA NAGANEMI (MD)
Entity Type:Individual
Prefix:
First Name:HEMA
Middle Name:NAGANEMI
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 1:981 37TH PL
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6541
Mailing Address - Country:US
Mailing Address - Phone:772-539-2446
Mailing Address - Fax:
Practice Address - Street 1:981 37TH PLACE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6541
Practice Address - Country:US
Practice Address - Phone:772-539-2446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0077699207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46299OtherBLUE CROSS BLUE SHIELD
FL174262873OtherTRICARE
FL900004111OtherRAILROAD MEDICARE
FL256339800Medicaid
G01172Medicare UPIN
FL900004111OtherRAILROAD MEDICARE