Kancherla Rao is a Adolescent Medicine in Elyria, Ohio. Kancherla Rao practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kancherla Rao is 1154461572. The last update date is 2013-02-19.
Kancherla Rao's current location address is 11124 Woodbury Lane, Elyria, Ohio. You can contact this provider via phone number 4408771859. The mailing address for Kancherla Rao is 11124 Woodbury Lane, Elyria, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kancherla Rao |
|---|---|
| Address | 11124 Woodbury Lane, Elyria, Ohio |
| Phone Number | 4408771859 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154461572 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2013-02-19 |
Provider Mailing Address Detail
| Address | 11124 Woodbury Lane |
|---|---|
| City | Elyria |
| State | Ohio (OH) |
| Post Code | 44035 |
| Phone Number | 4408771859 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 35046832 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 69823 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kancherla Rao by the Centers for Medicare & Medicaid Services?
The Kancherla Rao has been issued the NPI (National Provider Identifier) 1154461572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kancherla Rao's physical address?
The Kancherla Rao is physically located at 11124 Woodbury Lane, in the city of Elyria, OH, with the postal code 44035.
What is the Kancherla Rao's area of specialization and corresponding taxonomy classification?
The Kancherla Rao's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Qa0000X, which categorizes healthcare providers based on their specialties.
When was the Kancherla Rao's 1154461572 issued?
The Kancherla Rao's 1154461572 was issued on 2007-02-07.
As of what date was the information pertaining to Kancherla Rao, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kancherla Rao, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-19.
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