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General NPI Number Information
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NPI Number | 1144268095
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Entity Type | Individual
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Provider Name | RAMA K RAO MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 980 JOHNSON FERRY RD STE 910
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City | ATLANTA
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State | GA
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Zip | 30342-1626
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Country | US
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Telephone | 404-303-3750
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Fax | 404-252-4755
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Provider Business Mailing Address
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Address Line | 759 OLD NORCROSS RD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4317
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Country | US
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Telephone | 404-300-2379
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Fax | 404-300-2379
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD424592
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 068605
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License Number State | GA
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