Provider Demographics
NPI:1174547590
Name:RAO, ARUN R (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:R
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:3327 RESEARCH PLZ STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235-5156
Practice Address - Country:US
Practice Address - Phone:210-337-4494
Practice Address - Fax:210-337-4650
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7129207RX0202X, 207RH0003X
TN49434207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I836550OtherMEDICARE
MS318281YJ6COtherMEDICARE
AR199498001Medicaid
MS06806350Medicaid
TNQ001744Medicaid
TX575804OtherAETNA HMO
TXG12568Medicare UPIN