Individual
DR. MALATHI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
036136041
IL
2084N0400X
Neurology Physician
Primary
036136041
IL
2084V0102X
Vascular Neurology Physician
036136041
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265694525
—
MI
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400166053
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/27/2008
Last updated
06/23/2026
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