Organization
K S RAO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARUPARTHY S RAO MD (PRESIDENT)
(410) 496-7700
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD STE 108, RANDALLSTOWN, MD 21133-5125
(410) 496-7700
(410) 496-4070
Mailing address
5400 OLD COURT RD STE 108, RANDALLSTOWN, MD 21133-5125
(410) 496-7700
(410) 496-4070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0043462
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039691
UNIT
—
01
—
888AK
BSMD
—
01
—
DC1443
RRMC
—
01
—
J775
BSDC
—
Enumeration date
10/18/2007
Last updated
10/18/2007
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