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1053315648

NPI Code Detail

MEDICARE: DR. RAJU V RAO MD

MEDICARE: DR. RAJU V RAO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	ME63011	FL
2	207RH0000X	Hematology (Internal Medicine) Physician	ME63011	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	830001637	OTHER	FL	RR MEDICARE
8	18201Z	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202786	OTHER		AVMED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	18201	OTHER	FL	BC/BS FL
5	2503555	OTHER	FL	GHI
6	4577365	OTHER	FL	AETNA
7	0579213-001	OTHER		CIGNA

General Provider Information

NPI Number	:	1053315648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJU V RAO MD

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:	ATTN: CREDENTIALING
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	7154 MEDICAL CENTER DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-1329
Country	:	US
Telephone Number	:	352-596-1926
Fax Number	:	352-597-2154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	04/16/2026

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Directions to “ DR. RAJU V RAO MD” Practice Location

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