MEDICARE: DR. DINKAR V 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	207V00000X	Obstetrics & Gynecology Physician	35040803	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1609093079	OTHER	OH	RENDERING NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760485999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINKAR V RAO M.D.

Provider Business Mailing Address
First Line	:	6770 MAYFIELD RD
Second Line	:	STE 223
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2299
Country	:	US
Telephone Number	:	440-461-9060
Fax Number	:	440-460-2848

Provider Business Practice Location Address
First Line	:	6770 MAYFIELD RD
Second Line	:	STE 223
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2299
Country	:	US
Telephone Number	:	440-461-9060
Fax Number	:	440-460-2848

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/07/2018

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