MEDICARE: DR. RAO INALA M.D.

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	208600000X	Surgery Physician	F2727	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00NA16	OTHER	TX	BLUE CROSS & BLUESHIELD
2	742124597004	OTHER	TX	TRICARE
3	63295	OTHER	TX	AMERIGROUP

General Provider Information

NPI Number	:	1952406449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAO INALA M.D.

Provider Business Mailing Address
First Line	:	5238 MEADOW LANDING LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4293
Country	:	US
Telephone Number	:	281-313-3613
Fax Number	:

Provider Business Practice Location Address
First Line	:	5238 MEADOW LANDING LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4293
Country	:	US
Telephone Number	:	281-313-3613
Fax Number	:

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/09/2007

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