Provider Demographics
NPI:1770554370
Name:RAO, DURGA E (MD)
Entity type:Individual
Prefix:DR
First Name:DURGA
Middle Name:E
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:411 MERRIMACK ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5821
Mailing Address - Country:US
Mailing Address - Phone:978-689-2500
Mailing Address - Fax:978-689-2502
Practice Address - Street 1:411 MERRIMACK ST
Practice Address - Street 2:SUITE 204
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5821
Practice Address - Country:US
Practice Address - Phone:978-689-2500
Practice Address - Fax:978-689-2502
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2008-09-09
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Provider Licenses
StateLicense IDTaxonomies
MA206923207RN0300X
NH11070207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1160076OtherFALLON
MA206293OtherTUFTS HEALTH PLAN
MA7689347OtherAETNA
NHAA113088OtherHARVARD NH
MAAA107182OtherHARVARD PILGRIM
MA0116220Medicaid
NH3021633Medicaid
MAJ23160OtherBLUE CROSS BLUE SHIELD
MA0022002OtherNEIGHBORHOOD HEALTH PLAN
NH01Y007131NH05OtherANTHEM NH
NH30204898Medicaid
MA975142OtherNETWORK HEALTH
NH01YP07131MA01OtherANTHEM BS
MA31-00829OtherEVERCARE
3616343OtherCIGNA
P00357410OtherRAILROAD MEDICARE
NH3021633Medicaid
NHA3195404Medicare PIN
MAA3195403Medicare PIN
MA206293OtherTUFTS HEALTH PLAN