Individual
SHYAMBHAI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(800) 376-5566
Mailing address
PO BOX 30230, HARTFORD, CT 06150-0230
(800) 376-5566
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
139578
NY
208000000X
Pediatrics Physician
139578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00681998
—
NY
Enumeration date
10/25/2006
Last updated
09/04/2019
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