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NPI Code Detail

MEDICARE: JAYALALITHA RAO M.D

MEDICARE:   JAYALALITHA  RAO  M.D
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
1207R00000XInternal Medicine Physician200901795NC

General Provider Information

NPI Number : 1417104597
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYALALITHA RAO M.D
Provider Business Mailing Address
First Line : 1000 CRESCENT GRN STE 102
Second Line :
City : CARY
State : NC
Zip : 27518-8117
Country : US
Telephone Number : 919-233-0410
Fax Number : 919-233-0872
Provider Business Practice Location Address
First Line : 1000 CRESCENT GRN STE 102
Second Line :
City : CARY
State : NC
Zip : 27518-8117
Country : US
Telephone Number : 919-233-0410
Fax Number : 919-233-0872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 11/04/2025

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Directions to “ JAYALALITHA RAO M.D” Practice Location

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