DR. SRIDHAR A RAO (NPI# 1023110780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023110780 |
| Entity Type | Individual |
| Full Name | DR. SRIDHAR A RAO |
| Credential | MD |
| Practice Address |
9030 State Rd Millington MI 48746-8902 |
| Practice Telephone | 9898714501 |
| Practice Fax Number | 9898715530 |
| Mailing Telephone | 9898714501 |
| Mailing Fax Number | 9898715530 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301065434 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3457161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528039849 | Sridhar Rao | Pediatrics | 9000 W Wisconsin Ave, Pediatric Hematology/oncology, Milwaukee, WI 53226-4874 | 2006-01-27 |
| Street Address |
9030 STATE RD |
| City | MILLINGTON |
| State | MI |
| Zip Code | 48746-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073689741 | Eugene Leonard Surmont | Dentist | 9030 State Rd, Millington, MI 48746-8902 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942475157 | Millington Dental PC | Dentist | 4696 East Main, Millington, MI 48746 | 2008-04-29 |
| 1114965621 | Restoring Smiles | Dentist | 4780 Industrial Drive, Millington, MI 48746 | 2006-06-04 |
| 1851435093 | Patrick M. Hurst | Social Worker | 8361 Ellis Rd., Millington, MI 48746-0359 | 2007-02-19 |
| 1750425435 | Richard O Watkins II | Counselor | 8361 Ellis Rd, Millington, MI 48746-0359 | 2007-02-16 |
| 1942460639 | Sandra Hurst | Counselor | 8361 Ellis Rd, Millington, MI 48746-0359 | 2008-06-16 |
| 1588844336 | Tammy Joette Birkenmeier | Counselor | 8361 Ellis Rd., Millington, MI 48746-0359 | 2007-11-09 |
| 1013408624 | Lorrie Ann Thams | Counselor | 5397 Millington Rd, Millington, MI 48746-8701 | 2018-05-21 |
| 1487148250 | Jennie Lynne Aeder | Counselor | 5397 Millington Rd, Millington, MI 48746-8701 | 2018-06-15 |
| 1720524390 | Raeann Henderson | Student in an Organized Health Care Education/Training Program | 3510 Swaffer Rd, Millington, MI 48746-9055 | 2017-01-06 |
| 1417102492 | Donald Quinn | Dentist | 4696 Main St, Millington, MI 48746-9056 | 2008-11-18 |
| Find all providers in zip 48746 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275977340 | Robert Coburn Kingsbury | Family Medicine | 226 Lakeside Dr., Millington, MD 21651 | 2013-04-19 |
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1932258787 | Mid South Wellness Center, Inc | Family Medicine | 7662 Highway 51north, Suite 2, Millington, TN 38053 | 2007-01-10 |
| 1982767984 | Walter Elias IIi | Family Medicine | 5722 Integrity Drive Bldg. S771, Officer In Charge Branc, Millington, TN 38054-5021 | 2006-12-19 |
| 1417056409 | Samya Varuschka Cruz | Family Medicine | 5722 Integrity Dr Bldg 771, Millington, TN 38054-5028 | 2006-09-22 |
| 1740239490 | Catherine Jean Flowitt | Family Medicine | 5101 Thompson St, Millington, TN 38053-2458 | 2006-05-09 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| 1588656730 | Toby Eric Anderson | Family Medicine | 9705 Oglesby Rd, Millington, TN 38053-4304 | 2005-08-15 |
| 1891205746 | Sheketa Lane | Family Medicine | 8188 Us Highway 51 N, Millington, TN 38053-1750 | 2017-10-05 |
| 1588116891 | Hamad Ahmad Md PC | Family Medicine | 4772 Navy Rd, Suite A, Millington, TN 38053-1927 | 2016-11-03 |
| Find all providers in MILLINGTON | ||||
| City | MILLINGTON |
| Zip Code | 48746 |
Please comment or provide details below to improve the information on DR. SRIDHAR A RAO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.