ANITHA RAO, MD, Neurology MISHAWAKA, IN

Contact Information

ANITHA RAO, MD

5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469

Phone: 574-335-6450
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Neurology	2084N0400X	13	Physician/Neurology
Behavioral Neurology & Neuropsychiatry	2084B0040X

Indicates primary specialty

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NPI Profile & details for ANITHA RAO · (Female)

NPI Number	`1396989976`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/27/2009
Last updated	04/23/2024 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 036.135675 IN License # 01086698A IN Medicaid 300056925
Hospital affiliation(s)	SAINT JOSEPH REGIONAL MEDICAL CENTER - (Acute Care) 5215 HOLY CROSS PKWY MISHAWAKA, IN 46545

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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