Healthcare Provider Details

I. General information

NPI: 1174796825
Provider Name (Legal Business Name): ARUNDATHI RAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5880 RAND BLVD STE 101
SARASOTA FL
34238-5118
US

IV. Provider business mailing address

PO BOX 863407
ORLANDO FL
32886-3407
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-4753
  • Fax: 941-917-4752
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME102122
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: