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NPI Code Detail

MEDICARE: DR. SUDHIR GONDY RAO MD (MB;BS)

MEDICARE:  DR. SUDHIR GONDY RAO  MD (MB;BS)
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
1207K00000XAllergy & Immunology Physician35.068589OH

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 : 1396723904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUDHIR GONDY RAO MD (MB;BS)
Provider Business Mailing Address
First Line : 4235 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4299
Country : US
Telephone Number : 419-473-3561
Fax Number : 419-479-5593
Provider Business Practice Location Address
First Line : 4235 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4299
Country : US
Telephone Number : 419-479-5485
Fax Number : 419-479-5480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 06/17/2025

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Directions to “ DR. SUDHIR GONDY RAO MD (MB;BS)” Practice Location

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