Healthcare Provider Details

I. General information

NPI: 1609684497
Provider Name (Legal Business Name): VALERIE JOSEPHINE RAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/25/2024
Last Update Date: 12/25/2024
Certification Date: 12/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 FRUITVILLE RD
SARASOTA FL
34232-1906
US

IV. Provider business mailing address

13927 WOOD DUCK CIR
LAKEWOOD RANCH FL
34202-8314
US

V. Phone/Fax

Practice location:
  • Phone: 941-361-6909
  • Fax:
Mailing address:
  • Phone: 573-999-3844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberME39222
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: