Provider Demographics
NPI:1881610319
Name:RAO, SHOBHA LAKSHMI (MD)
Entity type:Individual
Prefix:DR
First Name:SHOBHA
Middle Name:LAKSHMI
Last Name:RAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1653 W CONGRESS PKWY
Mailing Address - Street 2:325 JONES
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3833
Mailing Address - Country:US
Mailing Address - Phone:312-942-4200
Mailing Address - Fax:
Practice Address - Street 1:1653 W CONGRESS PKWY
Practice Address - Street 2:325 JONES
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-942-4200
Practice Address - Fax:312-942-3568
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2022-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-116463207R00000X, 208M00000X
MI4301079554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine