Healthcare Provider Details

I. General information

NPI: 1710565817
Provider Name (Legal Business Name): EDWINA HELENE RAO MD, MPH, DTM&H
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 E 3RD ST STE B601
CHATTANOOGA TN
37403-3316
US

IV. Provider business mailing address

979 E 3RD ST STE B601
CHATTANOOGA TN
37403-3316
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-8179
  • Fax:
Mailing address:
  • Phone: 423-778-8179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number247320
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD.48584
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: