Healthcare Provider Details

I. General information

NPI: 1598877003
Provider Name (Legal Business Name): ROBERT C RAU MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3545 OLENTANGY RIVER RD SUITE 124
COLUMBUS OH
43214-3907
US

IV. Provider business mailing address

3545 OLENTANGY RIVER RD SUITE 124
COLUMBUS OH
43214-3907
US

V. Phone/Fax

Practice location:
  • Phone: 614-268-2748
  • Fax: 614-263-3376
Mailing address:
  • Phone: 614-268-2748
  • Fax: 614-263-3376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT C RAU
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 614-268-2748