Provider Demographics
NPI:1780872721
Name:NARAKANTI N. RAO, MD INC.
Entity type:Organization
Organization Name:NARAKANTI N. RAO, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:MR
Authorized Official - First Name:NARAKANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:N. RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-735-2311
Mailing Address - Street 1:760 WASHBURN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3303
Mailing Address - Country:US
Mailing Address - Phone:951-735-2311
Mailing Address - Fax:951-737-1655
Practice Address - Street 1:760 WASHBURN AVE STE 7
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3303
Practice Address - Country:US
Practice Address - Phone:951-735-2311
Practice Address - Fax:951-737-1655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NARAKANTI N. RAO, MD INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-03
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A266991Medicaid
CA1003919655OtherNPI
CA00A266991Medicare PIN
CA1003919655OtherNPI