Healthcare Provider Details

I. General information

NPI: 1306741392
Provider Name (Legal Business Name): SAHIL RAO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 E NORTH ST
MANTECA CA
95336-4962
US

IV. Provider business mailing address

1206 E NORTH ST
MANTECA CA
95336-4962
US

V. Phone/Fax

Practice location:
  • Phone: 512-850-5565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SAHIL RAO
Title or Position: PRESIDENT
Credential: MD
Phone: 512-850-5565