Provider Type Icon

UP RAO MD PA NPI 1861492480


NPI Information

NPI: 1861492480
Provider Name: UP RAO MD PA

Former Legal Business Name: UDIPI PRABHAKAR RAO MD

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
500 ADAMS AVE
SUITE 700
ODESSA, TX
ZIP 79761
Phone: (432) 334-0433
Get Directions

UP RAO MD PA is a gastroenterology internal medicine in Odessa, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. UP RAO MD PA NPI is 1861492480. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Udipi Prabhakar Rao Md.

The provider's business location address is:

500 ADAMS AVE
SUITE 700
ODESSA, TX
ZIP 79761-656
Phone: (432) 334-0433
Fax: (432) 334-0414

The provider's authorized official is Udipi Prabhakar Rao .
The authorized official title is Pres. Of The Company & Physician and has the following contact phone number (432) 334-0433.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 12/12/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyF8631TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C20860MEDICARE UPIN
21103947 02MEDICAIDTEXAS
300PC60MEDICARE PINTEXAS
40075PZOTHERTEXASBLUE CROSS BLUESHIELD

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: 5/5/2024

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.