Provider Demographics
NPI:1548302888
Name:RAO, KAKARALA JANARDHANA (MD,MS(COMM HEALTH))
Entity type:Individual
Prefix:DR
First Name:KAKARALA
Middle Name:JANARDHANA
Last Name:RAO
Suffix:
Gender:M
Credentials:MD,MS(COMM HEALTH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 103RD AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-3219
Mailing Address - Country:US
Mailing Address - Phone:239-513-9494
Mailing Address - Fax:239-513-9494
Practice Address - Street 1:630 103RD AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-3219
Practice Address - Country:US
Practice Address - Phone:239-513-9494
Practice Address - Fax:239-513-9494
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115362-1207RE0101X
FLME93816207RE0101X
NY115362207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism