| 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 |