MEDICARE: PARINEETA S RAO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD.36168	AL
2	207Q00000X	Family Medicine Physician	MD.36168	AL
3	390200000X	Student in an Organized Health Care Education/Training Program	0116027460	VA
4	207Q00000X	Family Medicine Physician	0101267543	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	207Q00000X	OTHER	VA	FAMILY MEDICINE

General Provider Information

NPI Number	:	1053726356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARINEETA S RAO MD

Provider Business Mailing Address
First Line	:	PO BOX 37189
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3189
Country	:	US
Telephone Number	:	571-423-5699
Fax Number	:	571-423-5698

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD STE 160
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5758
Country	:	US
Telephone Number	:	571-492-3045
Fax Number	:	571-492-3046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	12/15/2022

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Directions to “ PARINEETA S RAO MD” Practice Location

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