Individual
DR. SHAKUNTALA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6770 MAYFIELD RD, SUITE #236, MAYFIELD HTS, OH 44124-2299
(216) 449-9471
(216) 449-7311
Mailing address
6770 MAYFIELD RD, #236, MAYFIELD HTS, OH 44124-2299
(216) 449-9471
(216) 449-7311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35049527R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0559711
—
OH
01
—
35049527R
STATE LICENSE
OH
Enumeration date
09/16/2005
Last updated
06/27/2008
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