Individual
SANDEEP RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
6036 N 19TH AVE STE 204, PHOENIX, AZ 85015-2104
(480) 616-0356
(480) 616-0603
Mailing address
PO BOX 29650, DEPT# 8800391, PHOENIX, AZ 85038
(855) 381-9178
(913) 234-1116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
51872
AZ
2085R0202X
Diagnostic Radiology Physician
MD2014-0823
NM
2085R0202X
Diagnostic Radiology Physician
N6601
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
51872
AZ
2085R0204X
Vascular & Interventional Radiology Physician
MD2014-0823
NM
2085R0204X
Vascular & Interventional Radiology Physician
N6601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DG725
BCBS TX
TX
Enumeration date
07/18/2007
Last updated
09/26/2023
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