Provider Demographics
NPI:1184875593
Name:RAO, RAJANI (MD)
Entity type:Individual
Prefix:DR
First Name:RAJANI
Middle Name:
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 1:2237 W PARKER RD
Mailing Address - Street 2:STE D
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7800
Mailing Address - Country:US
Mailing Address - Phone:469-331-9989
Mailing Address - Fax:
Practice Address - Street 1:2237 W PARKER RD
Practice Address - Street 2:STE D
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7800
Practice Address - Country:US
Practice Address - Phone:469-331-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08455000207R00000X
TXP6251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ218855Medicaid
NJ218855Medicaid