SUJATHA RAO M.D. P.C. NPI 1124173273

NPI Information

NPI: 1124173273
Provider Name: SUJATHA RAO M.D., P.C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1390 HOPE DR
CARBONDALE, IL
ZIP 62901
Phone: (618) 529-0120
Get Directions

SUJATHA RAO M.D., P.C. is a hematology and oncology internal medicine in Carbondale, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SUJATHA RAO M.D., P.C. NPI is 1124173273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1390 HOPE DR
CARBONDALE, IL
ZIP 62901-306
Phone: (618) 529-0120

The provider's authorized official is Sujatha A Rao .
The authorized official title is President and has the following contact phone number (618) 529-0120.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	036111928	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03932030	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD IL
2	209880	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	6621450001	MEDICARE NSC	ILLINOIS
4	=========	OTHER	ILLINOIS	TRICARE
5	H84180	MEDICARE UPIN	ILLINOIS
6	036111928	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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