MEDICARE: RAJESH SK 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	207RP1001X	Pulmonary Disease Physician	254844	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	254844	NY
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	254844	NY
4	207R00000X	Internal Medicine Physician	254844	NY

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	:	1528060472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH SK RAO MD

Provider Business Mailing Address
First Line	:	77 NELSON ST
Second Line	:	SUITE 240
City	:	AUBURN
State	:	NY
Zip	:	13021-1944
Country	:	US
Telephone Number	:	315-252-8838
Fax Number	:	315-252-8843

Provider Business Practice Location Address
First Line	:	77 NELSON ST
Second Line	:	SUITE 240
City	:	AUBURN
State	:	NY
Zip	:	13021-1944
Country	:	US
Telephone Number	:	315-252-8838
Fax Number	:	315-252-8843

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/17/2015

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