Individual
DEEPTI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7165 CLEARVISTA PARKWAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
(317) 621-7896
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01059177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200510820
—
IN
01
—
P01191775
RR MEDICARE PTAN
IN
Enumeration date
05/19/2006
Last updated
03/11/2014
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