Healthcare Provider Details

I. General information

NPI: 1467444802
Provider Name (Legal Business Name): AKHILESH RAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date: 03/27/2006
Reactivation Date: 04/03/2006

III. Provider practice location address

7225 OLD OAK BLVD BLDG B STE 313
MIDDLEBURG HEIGHTS OH
44130-3339
US

IV. Provider business mailing address

805 COLUMBIA RD STE 109
WESTLAKE OH
44145-1461
US

V. Phone/Fax

Practice location:
  • Phone: 440-243-0574
  • Fax: 440-243-0582
Mailing address:
  • Phone: 440-799-4224
  • Fax: 440-799-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2013009359
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35.086958
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE4200
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35086958
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: