MEDICARE: DR. CHAMARAJA ALEVOOR RAO M.D.

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	2084P0800X	Psychiatry Physician	11412	NV

General Provider Information

NPI Number	:	1124111455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAMARAJA ALEVOOR RAO M.D.

Provider Business Mailing Address
First Line	:	10232 STRADA LATERINA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2527
Country	:	US
Telephone Number	:	702-643-7795
Fax Number	:

Provider Business Practice Location Address
First Line	:	10232 STRADA LATERINA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2527
Country	:	US
Telephone Number	:	702-643-7795
Fax Number	:

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

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	12/21/2025

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