Healthcare Provider Details

I. General information

NPI: 1427030782
Provider Name (Legal Business Name): FRANK G RAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1383 S COLLEGE ST
WINCHESTER TN
37398-2414
US

IV. Provider business mailing address

1383 S COLLEGE ST
WINCHESTER TN
37398-2414
US

V. Phone/Fax

Practice location:
  • Phone: 931-962-3500
  • Fax: 931-962-3545
Mailing address:
  • Phone: 931-962-3500
  • Fax: 931-962-3545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number50468
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: