CHINTAMENI B RAO M.D. NPI 1053387126

NPI Information

  • NPI: 1053387126
  • Provider Name: CHINTAMENI B RAO, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 901 LAKE SHORE DR
    ISHPEMING, MI
    ZIP 49849
  • Phone: (906) 485-2668

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NPI Details

Chintameni B Rao, M.D. is an adolescent medicine pediatrics in Ishpeming, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Chintameni B Rao, M.D. NPI is 1053387126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 LAKE SHORE DR
ISHPEMING, MI
ZIP 49849-367
Phone: (906) 485-2668
Fax: (906) 485-5676

The enumeration date for this NPI number is 2/27/2006 and was last updated on 1/23/2014.

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
12080A0000XPediatricsAdolescent Medicine4301039874MICHIGANYes

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
11356473MEDICAIDMICHIGAN
23505221052OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
3F06121MEDICARE UPINMICHIGAN

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: 3/30/2025

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