MEDICARE: JAHNAVI RAO ,DDS,MS LTD

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5476	NV
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	S3-186	NV

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	:	1407187792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAHNAVI RAO ,DDS,MS LTD

Provider Business Mailing Address
First Line	:	6127 S RAINBOW BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3256
Country	:	US
Telephone Number	:	702-998-2237
Fax Number	:	702-243-2893

Provider Business Practice Location Address
First Line	:	6127 S RAINBOW BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3256
Country	:	US
Telephone Number	:	702-998-2237
Fax Number	:	702-243-2893

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAHNAVI RAO
Credential	:	DDS,MS
Telephone Number	:	702-998-2237

Provider Enumeration Date	:	01/26/2010
Last Update Date	:	03/19/2014

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