Provider Demographics
NPI:1336360197
Name:RAO, SANDEEP SAMBRANI (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDEEP
Middle Name:SAMBRANI
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4401 N CAMPUS RIDGE DR
Mailing Address - Street 2:#B2200
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6112
Mailing Address - Country:US
Mailing Address - Phone:989-837-9400
Mailing Address - Fax:
Practice Address - Street 1:4401 N CAMPUS RIDGE DR
Practice Address - Street 2:#B2200
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6112
Practice Address - Country:US
Practice Address - Phone:989-837-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088509207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics