Healthcare Provider Details

I. General information

NPI: 1023680535
Provider Name (Legal Business Name): AMITH RAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

7782 HUNT CLUB DR
MASON OH
45040-7018
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-6501
  • Fax: 865-305-8199
Mailing address:
  • Phone: 513-885-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number01096896A
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number01096896A
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: