Provider Demographics
NPI:1780610949
Name:RAO, AARATI VENKATA (MD)
Entity type:Individual
Prefix:DR
First Name:AARATI
Middle Name:VENKATA
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 1:9415 221ST PL NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2049
Mailing Address - Country:US
Mailing Address - Phone:425-868-8735
Mailing Address - Fax:
Practice Address - Street 1:1600 EUREKA RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-784-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL-2728SP2080P0207X
WAMD601305382080P0207X, 208M00000X
CAC550302080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275907100Medicaid
MS03737352Medicaid
AL009939096Medicaid
AL51535492OtherBLUE CROSS
AL51535492OtherBLUE CROSS
AL051557767Medicare ID - Type Unspecified
AL009939096Medicaid