Healthcare Provider Details

I. General information

NPI: 1073743746
Provider Name (Legal Business Name): SWAROOP G. RAO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W EDMONSTON DR SUITE 504
ROCKVILLE MD
20852-1228
US

IV. Provider business mailing address

50 W EDMONSTON DR SUITE 504
ROCKVILLE MD
20852-1228
US

V. Phone/Fax

Practice location:
  • Phone: 301-762-7723
  • Fax:
Mailing address:
  • Phone: 301-762-7723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0035792
License Number StateMD

VIII. Authorized Official

Name: DR. SWAROOP G RAO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-762-7723