MEDICARE: DR. USHA SATHISHCHANDRA 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	207W00000X	Ophthalmology Physician	A117090	CA

General Provider Information

NPI Number	:	1558525378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. USHA SATHISHCHANDRA RAO MD

Provider Business Mailing Address
First Line	:	1012 KIRKHAM ST
Second Line	:	APT. 2
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-3553
Country	:	US
Telephone Number	:	304-993-9396
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 KORET WAY
Second Line	:	BOX 0730
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2218
Country	:	US
Telephone Number	:	415-514-3398
Fax Number	:

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

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	02/11/2022

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