Provider Demographics
NPI:1134235534
Name:RAO, SHEELA MOCHERLA (MD)
Entity type:Individual
Prefix:MRS
First Name:SHEELA
Middle Name:MOCHERLA
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 EASTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305
Mailing Address - Country:US
Mailing Address - Phone:330-733-5454
Mailing Address - Fax:330-733-0010
Practice Address - Street 1:762 EASTLAND AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305
Practice Address - Country:US
Practice Address - Phone:330-733-5454
Practice Address - Fax:330-733-0010
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH045425208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0219383Medicaid
C55529Medicare UPIN
OHRA4033741Medicare ID - Type Unspecified