Provider Demographics
NPI:1821119926
Name:RAO, TURLAPATI RAMAMOHAN (MD)
Entity Type:Individual
Prefix:
First Name:TURLAPATI
Middle Name:RAMAMOHAN
Last Name:RAO
Suffix:
Gender:M
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 54136
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79453-4136
Mailing Address - Country:US
Mailing Address - Phone:806-771-1386
Mailing Address - Fax:806-771-1388
Practice Address - Street 1:3809 22ND ST
Practice Address - Street 2:SUITE C
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1198
Practice Address - Country:US
Practice Address - Phone:806-792-9155
Practice Address - Fax:806-793-3825
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5004208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX827023020OtherRAILROAD MEDICARE
TX098997201Medicaid
TX00JC04Medicare ID - Type Unspecified