Individual
DR. SUMAN S. RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 SW I ST STE 100, BENTONVILLE, AR 72713-0200
(479) 636-9234
Mailing address
4100 SW I ST STE 100, BENTONVILLE, AR 72713-0200
(479) 636-9234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2002007691
MO
208000000X
Pediatrics Physician
Primary
E-15451
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10854558
CAQH PROVIDER ID
—
05
—
205808900
—
MO
Enumeration date
01/30/2007
Last updated
07/25/2022
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