MEDICARE: RAJESH RAO DO

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	207P00000X	Emergency Medicine Physician	L0532	TX

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
2	8G4157	OTHER	TX	BC/BS PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801866611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH RAO DO

Provider Business Mailing Address
First Line	:	14806 HONEYMOON BRIDGE LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2138
Country	:	US
Telephone Number	:	281-242-4754
Fax Number	:	281-242-4754

Provider Business Practice Location Address
First Line	:	12345 KATY FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-1503
Country	:	US
Telephone Number	:	281-679-5600
Fax Number	:	281-679-5600

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	11/11/2010

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Directions to “ RAJESH RAO DO” Practice Location

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