Provider Demographics
NPI:1023098308
Name:RAO, SUDHA M (MD)
Entity type:Individual
Prefix:DR
First Name:SUDHA
Middle Name:M
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:451 CLARKSON AVE
Mailing Address - Street 2:C5203 KINGS COUNTY HOSPITAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-245-4560
Mailing Address - Fax:718-245-3764
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:KINGS COUNTY HOSPITAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-3325
Practice Address - Fax:718-245-4107
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1649061208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology