Provider Demographics
NPI:1023070745
Name:RAO, T HEMANTH (MD)
Entity type:Individual
Prefix:DR
First Name:T
Middle Name:HEMANTH
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2607 E 7TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-4308
Mailing Address - Country:US
Mailing Address - Phone:704-449-6064
Mailing Address - Fax:704-731-0936
Practice Address - Street 1:2607 E 7TH ST STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-4308
Practice Address - Country:US
Practice Address - Phone:704-449-6064
Practice Address - Fax:704-731-0936
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96002802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN00280Medicaid
130013323OtherRAILROAD MEDICARE
NC8970038Medicaid
NC70038OtherBCBSNC
SCN00280Medicaid
G02546Medicare UPIN