KANCHERLA RAO M.D. NPI 1154461572

NPI Information

  • NPI: 1154461572
  • Provider Name: KANCHERLA RAO, M.D.
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 6140 S BROADWAY
    LORAIN, OH
    ZIP 44053
  • Phone: (440) 204-4364

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NPI Details

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 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
1207QA0000XFamily MedicineAdolescent Medicine35046832OHIOYes

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
1C02527MEDICARE UPINOHIO
2RA2017381MEDICARE ID-TYPE UNSPECIFIEDOHIO
30069823MEDICAIDOHIO

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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