MEDICARE: DR. SUDHIR R 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	D0067548	MD
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME152091	FL
3	208VP0014X	Interventional Pain Medicine Physician	MD446984	PA
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101252873	VA

General Provider Information

NPI Number	:	1629103759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUDHIR R RAO M.D.

Provider Business Mailing Address
First Line	:	2702 BACK ACRE CIR
Second Line	:	SUITE 290B
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-7769
Country	:	US
Telephone Number	:	301-703-8767
Fax Number	:	301-703-8766

Provider Business Practice Location Address
First Line	:	2702 BACK ACRE CIR
Second Line	:	SUITE 290B
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-7769
Country	:	US
Telephone Number	:	301-703-8767
Fax Number	:	301-703-8766

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	01/19/2026

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