Individual
RAO K ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W CAMPBELL RD, SUITE 305, RICHARDSON, TX 75080-3468
(469) 562-4188
(469) 562-4166
Mailing address
1609 ENCLAVE CT, SOUTHLAKE, TX 76092-3461
(732) 610-6120
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.095398
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
35.095398
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
R2266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
654741
MEDICARE PTAN
—
Enumeration date
09/09/2009
Last updated
06/17/2022
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