Rao, Suman S.

Rao, Suman S. is an individual health care provider with primary practice located at 4100 Sw I St Ste 100 , Bentonville AR 72713-0200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rao, Suman S. can be contacted via phone (479) 636-9234.

Contact Information

Primary practice address
4100 Sw I St Ste 100 Bentonville AR 72713-0200
Phone: (479) 636-9234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002007691 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-15451 Arkansas

Profile Details

NPI number 1821135070
LBN Legal business name Rao, Suman S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 25th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821135070 NPPES
Missouri MEDICAID 205808900
Missouri Other 10854558

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