KANCHERLA RAO M.D. NPI 1154461572

NPI Information

NPI: 1154461572
Provider Name: KANCHERLA RAO, M.D.
Classification: Family Medicine - 207QA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
6140 S BROADWAY
LORAIN, OH
ZIP 44053
Phone: (440) 204-4364
Get Directions

Kancherla Rao, M.D. is an adolescent medicine family medicine in Lorain, OH. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. Kancherla Rao, M.D. NPI is 1154461572. 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:

6140 S BROADWAY
LORAIN, OH
ZIP 44053-821
Phone: (440) 204-4364
Fax: (440) 233-9070

The NPI 1154461572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/19/2013.

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
1	207QA0000X	Family Medicine	Adolescent Medicine	35046832	OHIO	Yes

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
1	C02527	MEDICARE UPIN	OHIO
2	RA2017381	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	0069823	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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