MEDICARE: DR. ANAND K RAO MD PHD

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	208600000X	Surgery Physician	ME21082	FL

General Provider Information

NPI Number	:	1205827409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAND K RAO MD PHD

Provider Business Mailing Address
First Line	:	1500 LAKELAND HILLS BLVD
Second Line	:	STE 1
City	:	LAKELAND
State	:	FL
Zip	:	33805-3257
Country	:	US
Telephone Number	:	863-688-6694
Fax Number	:	863-688-6694

Provider Business Practice Location Address
First Line	:	1500 LAKELAND HILLS BLVD
Second Line	:	STE 1
City	:	LAKELAND
State	:	FL
Zip	:	33805-3257
Country	:	US
Telephone Number	:	863-688-6694
Fax Number	:	863-688-6694

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/08/2007

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