Healthcare Provider Details

I. General information

NPI: 1669665733
Provider Name (Legal Business Name): SABINA RAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 12TH ST
BUTNER NC
27509-1626
US

IV. Provider business mailing address

1003 12TH ST
BUTNER NC
27509-1626
US

V. Phone/Fax

Practice location:
  • Phone: 919-575-2433
  • Fax: 919-575-7670
Mailing address:
  • Phone: 919-575-2433
  • Fax: 919-575-7670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: