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NPI Code Detail

MEDICARE: MAYA RAO

MEDICARE: MAYA RAO
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
1103T00000XPsychologistAZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124141510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA RAO
Provider Business Mailing Address
First Line : 900 N RURAL RD APT 2097
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-6099
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6218 S 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-4211
Country : US
Telephone Number : 602-243-4866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/26/2007

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Directions to “ MAYA RAO ” Practice Location

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