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SUPRASAD M. RAO MD PSC NPI 1154351443


NPI Information

NPI: 1154351443
Provider Name: SUPRASAD M. RAO, MD, PSC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
808 S SILVERWOOD RD
MUNCIE, IN
ZIP 47304
Phone: (505) 807-1508
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SUPRASAD M. RAO, MD, PSC is a medical specialty clinic center in Muncie, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SUPRASAD M. RAO, MD, PSC NPI is 1154351443. The provider is registered as an organization entity type.

The provider's business location address is:

808 S SILVERWOOD RD
MUNCIE, IN
ZIP 47304-073
Phone: (505) 807-1508

The provider's authorized official is Suprasad M Rao .
The authorized official title is Physician and has the following contact phone number (505) 807-1508.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 3/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty01061494AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200821450MEDICAIDINDIANA
2237170AMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.