Rao, Kancherla
Rao, Kancherla is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Rao, Kancherla can be contacted via phone (440) 204-4364.Contact Information
Primary practice address
6140 S Broadway
Lorain OH 44053-3821
Phone: (440) 204-4364
Fax: (440) 233-9070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 35046832 | Ohio |
Profile Details
| NPI number | 1154461572 |
|---|---|
| LBN Legal business name | Rao, Kancherla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Feb 19th, 2013 - about 13 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 | 1154461572 | NPPES |
| Ohio | MEDICAID | 0069823 |
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