Healthcare Provider Details

I. General information

NPI: 1073148581
Provider Name (Legal Business Name): RAO CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 KILDAIRE FARM RD STE 130
CARY NC
27511-6571
US

IV. Provider business mailing address

1700 KILDAIRE FARM RD STE 130
CARY NC
27511-6571
US

V. Phone/Fax

Practice location:
  • Phone: 919-897-5999
  • Fax: 919-897-5980
Mailing address:
  • Phone: 919-897-5999
  • Fax: 919-897-5980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SIDDHARTHA RAO
Title or Position: PRESIDENT
Credential: MD
Phone: 919-897-5999