Healthcare Provider Details

I. General information

NPI: 1700315009
Provider Name (Legal Business Name): VINAY RAO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 PLAIN ST STE 203
PROVIDENCE RI
02905-3241
US

IV. Provider business mailing address

235 PLAIN ST STE 203
PROVIDENCE RI
02905-3241
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-2701
  • Fax: 401-444-2740
Mailing address:
  • Phone: 401-444-2701
  • Fax: 401-444-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number1021711
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberMD20302
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: