Provider Demographics
NPI:1033285697
Name:RAO, SESHAGIRI A (MD)
Entity type:Individual
Prefix:
First Name:SESHAGIRI
Middle Name:A
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 1:3016 COMMUNICATIONS PKWY.
Mailing Address - Street 2:STE. 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8827
Mailing Address - Country:US
Mailing Address - Phone:972-964-7373
Mailing Address - Fax:972-964-3939
Practice Address - Street 1:3016 COMMUNICATIONS PKWY.
Practice Address - Street 2:STE. 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8827
Practice Address - Country:US
Practice Address - Phone:972-964-7373
Practice Address - Fax:972-964-3939
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0803261Q00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC20861Medicare UPIN
TX00RE34Medicare ID - Type Unspecified