Provider Demographics
NPI:1366607541
Name:RAO, ATUL SADASHIV (MD)
Entity type:Individual
Prefix:DR
First Name:ATUL
Middle Name:SADASHIV
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:595 W STATE ST
Mailing Address - Street 2:1ST FLOOR WEST WING
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2554
Mailing Address - Country:US
Mailing Address - Phone:412-802-3031
Mailing Address - Fax:
Practice Address - Street 1:595 W STATE ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2554
Practice Address - Country:US
Practice Address - Phone:215-345-2100
Practice Address - Fax:215-345-2110
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4242092086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102491134Medicaid
PA102491134Medicaid