Rao, Anitha
Rao, Anitha is an sole proprietor health care provider with primary practice located at 5215 Holy Cross Pkwy , Mishawaka IN 46545-1469. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Rao, Anitha can be contacted via phone (574) 335-6450.Contact Information
Primary practice address
5215 Holy Cross Pkwy
Mishawaka IN 46545-1469
Phone: (574) 335-6450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 036.135675 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01086698A | Indiana |
Profile Details
| NPI number | 1396989976 |
|---|---|
| LBN Legal business name | Rao, Anitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2009 |
| Last updated | Apr 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396989976 | NPPES |
| Indiana | MEDICAID | 300056925 |
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