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NPI Code Detail

MEDICARE: DR. SHEILA RAO MD

MEDICARE: DR. SHEILA 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
1208000000XPediatrics Physician4301077730MI

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 : 1174521538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEILA RAO MD
Provider Business Mailing Address
First Line : 20225 E 9 MILE RD
Second Line : STE A
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-1700
Country : US
Telephone Number : 586-772-1090
Fax Number : 586-772-4366
Provider Business Practice Location Address
First Line : 43205 WOODWARD AVE
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-5006
Country : US
Telephone Number : 248-451-0600
Fax Number : 313-561-0277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/23/2021

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