MEDICARE: MR. ANANTHA K 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
1	207RC0000X	Cardiovascular Disease Physician	MD13092	MD
2	207RC0000X	Cardiovascular Disease Physician	D0027426	DC
3	207RI0011X	Interventional Cardiology Physician	MD13092	MD
4	207RI0011X	Interventional Cardiology Physician	D0027426	DC

Other Identifiers

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

General Provider Information

NPI Number	:	1326118225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANANTHA K RAO MD

Provider Business Mailing Address
First Line	:	6495 NEW HAMPSHIRE AVE
Second Line	:	190
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3245
Country	:	US
Telephone Number	:	301-445-4430
Fax Number	:	301-445-3753

Provider Business Practice Location Address
First Line	:	6495 NEW HAMPSHIRE AVE
Second Line	:	190
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3245
Country	:	US
Telephone Number	:	301-445-4430
Fax Number	:	301-445-3753

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	05/11/2015

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