Provider Demographics
NPI:1013282532
Name:RAO, KUSUMA C (MD)
Entity Type:Individual
Prefix:DR
First Name:KUSUMA
Middle Name:C
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9841 WASHINGTONIAN BLVD
Mailing Address - Street 2:SUITE390
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5389
Mailing Address - Country:US
Mailing Address - Phone:301-208-8770
Mailing Address - Fax:301-208-8394
Practice Address - Street 1:9841 WASHINGTONIAN BLVD
Practice Address - Street 2:SUITE390
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-5389
Practice Address - Country:US
Practice Address - Phone:301-208-8770
Practice Address - Fax:301-208-8394
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0019272207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology