| C.p. Rao, Md, Pc | |
| 
					19 W Main St Mohawk NY 13407-1024  | |
| (315) 866-7766 | |
| Not Available | 
| Full Name | C.p. Rao, Md, Pc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 19 W Main St, Mohawk, New York | 
| Authorized Official Name and Position | Chamkurkishtiah P Rao (MD) | 
| Authorized Official Contact | 3158667766 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| C.p. Rao, Md, Pc 19 W Main St Mohawk NY 13407-1024 Ph: (315) 866-7766  | C.p. Rao, Md, Pc 19 W Main St Mohawk NY 13407-1024 Ph: (315) 866-7766  | 
| NPI Number | 1760513907 | 
|---|---|
| Provider Enumeration Date | 03/08/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760513907 | NPI | - | NPPES | 
| 00803269 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 150274 (New York) | Primary |