MEDICARE: SRINIVAS RAO MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085R0204X	Vascular & Interventional Radiology Physician
2	2086S0129X	Vascular Surgery Physician
3	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1972941318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SRINIVAS RAO MD PA

Provider Business Mailing Address
First Line	:	3820 NORTHDALE BLVD STE 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1893
Country	:	US
Telephone Number	:	800-991-6117
Fax Number	:	813-434-2023

Provider Business Practice Location Address
First Line	:	11221 KATY FWY STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2105
Country	:	US
Telephone Number	:	281-888-1464
Fax Number	:	713-640-5938

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SRINIVAS P RAO
Credential	:	MD
Telephone Number	:	713-240-4913

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	08/28/2025

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