Provider Demographics
NPI:1811981079
Name:RAO, YASHODA TR (MD)
Entity type:Individual
Prefix:
First Name:YASHODA
Middle Name:TR
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6950 FRANCE AVE S
Mailing Address - Street 2:MPLS RADIATION ONCOLOGY
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2025
Mailing Address - Country:US
Mailing Address - Phone:952-920-4915
Mailing Address - Fax:952-915-6091
Practice Address - Street 1:1475 SAINT FRANCIS AVE
Practice Address - Street 2:ST FRANCIS RADIATION THERAPY CTR
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3301
Practice Address - Country:US
Practice Address - Phone:952-403-2031
Practice Address - Fax:952-403-2710
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN213082085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN963071011367OtherPREFERRED ONE
MN50B51RAOtherBLUE CROSS/BLUE SHIELD
MN105112OtherUCARE
MNHP14222OtherHEALTH PARTNERS
MN2400004OtherMEDICA PRIMARY
MN25144OtherAMERICA'S PPO
WI31687100Medicaid
MN112511OtherPT CHOICE
MN24-00157OtherMEDICA
WI31687100Medicaid