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NPI Code Detail

MEDICARE: MANOHAR P RAO

MEDICARE: MANOHAR P 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
1208200000XPlastic Surgery Physician60410MA
2207Q00000XFamily Medicine Physician60410MA

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 : 1306820899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANOHAR P RAO
Provider Business Mailing Address
First Line : 31 ROCHE BROS WAY
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-1032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE STE 250
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-6314
Country : US
Telephone Number : 877-866-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 03/17/2018

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Directions to “ MANOHAR P RAO ” Practice Location

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