Provider Demographics
NPI:1821278367
Name:K. RAM-DEV RAO, M.D., P.C.
Entity Type:Organization
Organization Name:K. RAM-DEV RAO, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:K. RAM-DEV
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-261-0828
Mailing Address - Street 1:1501 LOCUST ST
Mailing Address - Street 2:SUITE G-6
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5136
Mailing Address - Country:US
Mailing Address - Phone:412-261-0828
Mailing Address - Fax:412-391-1661
Practice Address - Street 1:1501 LOCUST ST
Practice Address - Street 2:SUITE G-6
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5136
Practice Address - Country:US
Practice Address - Phone:412-261-0828
Practice Address - Fax:412-391-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034284L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE10411Medicare UPIN
PA120695Medicare PIN