Provider Demographics
NPI:1730200122
Name:RAO, MORGINA JULIETTE (PA-C)
Entity type:Individual
Prefix:MS
First Name:MORGINA
Middle Name:JULIETTE
Last Name:RAO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MORGINA
Other - Middle Name:JULIETTE
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:9200 EDWARDS WAY APT 209
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3455
Mailing Address - Country:US
Mailing Address - Phone:240-423-3729
Mailing Address - Fax:
Practice Address - Street 1:10750 COLUMBIA PIKE STE 401
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4402
Practice Address - Country:US
Practice Address - Phone:301-593-6072
Practice Address - Fax:866-382-1197
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003563363AM0700X, 363AM0700X
MDC0001559363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC0001559OtherMARYLAND PA LICENSE