Provider Demographics
NPI:1821174889
Name:RAO, RADHIKA M (MD)
Entity Type:Individual
Prefix:
First Name:RADHIKA
Middle Name:M
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2425 MEADOWBROOK LN
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5940
Mailing Address - Country:US
Mailing Address - Phone:708-562-0832
Mailing Address - Fax:
Practice Address - Street 1:EDWARD HINES JR.VETERANS HOSPITAL
Practice Address - Street 2:5TH AND ROOSEVELT
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-2241
Practice Address - Fax:708-202-7960
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-102533207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine