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Contact Information

KANCHERLA RAO, MD
6140 S BROADWAY
LORAIN, OH44053-3821
 Phone: 440-204-4364
 Fax: 440-233-9070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KANCHERLA RAO · (Male)

NPI # 1154461572
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2007
Last updated 02/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35046832
  • OH Medicaid 0069823
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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