Provider Demographics
NPI:1669435798
Name:RAO, SADHANA (MD)
Entity type:Individual
Prefix:
First Name:SADHANA
Middle Name:
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:370 MIDDLETOWN BLVD
Mailing Address - Street 2:OXFORD SQUARE STE 510
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1840
Mailing Address - Country:US
Mailing Address - Phone:215-750-6566
Mailing Address - Fax:215-750-7288
Practice Address - Street 1:238 WILLOW DR
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19054-3119
Practice Address - Country:US
Practice Address - Phone:215-943-3333
Practice Address - Fax:215-945-5355
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD022719E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG83518Medicare UPIN
PA020366Medicare ID - Type Unspecified