Rao, Sudha
Rao, Sudha is an individual health care provider with primary practice located at 1501 S California Ave , Chicago IL 60608-1732. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Rao, Sudha can be contacted via phone (773) 257-6892.Contact Information
Primary practice address
1501 S California Ave
Chicago IL 60608-1732
Phone: (773) 257-6892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois | |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | Illinois |
Profile Details
| NPI number | 1285626838 |
|---|---|
| LBN Legal business name | Rao, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285626838 | NPPES |
| Illinois | MEDICAID | 036-050631-3 |
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