Individual
SUDHAKAR S RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER ST STE 150S, WORCESTER, MA 01608-1216
(508) 368-3110
(508) 368-3113
Mailing address
123 SUMMER ST STE 150S, WORCESTER, MA 01608-1216
(508) 368-3110
(508) 368-3113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
283807
MA
207V00000X
Obstetrics & Gynecology Physician
35065810R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110163888A
—
MA
Enumeration date
04/14/2006
Last updated
01/13/2021
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