Organization
SHAKUNTALA RAO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKUNTALA RAO M.D. (PRESIDENT)
(440) 449-9471
Entity
Organization
Contact information
Practice address
6770 MAYFIELD RD, SUITE 236, MAYFIELD HEIGHTS, OH 44124-2299
(440) 449-9471
(440) 449-7311
Mailing address
6770 MAYFIELD RD, SUITE 236, MAYFIELD HEIGHTS, OH 44124-2299
(440) 449-9471
(440) 449-7311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35049527R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2451074
—
OH
Enumeration date
04/19/2007
Last updated
06/27/2008
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