Basic Information
| Provider Information | |||||||||
| NPI: | 1366857138 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | RAO | ||||||||
| FirstName: | NEELIMA | ||||||||
| MiddleName: | D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7590 AUBURN RD STE 14 | ||||||||
| Address2: | |||||||||
| City: | CONCORD TOWNSHIP | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440779176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4403541899 | ||||||||
| FaxNumber: | 4403541845 | ||||||||
| Practice Location | |||||||||
| Address1: | 4176 STATE ROUTE 306 | ||||||||
| Address2: | |||||||||
| City: | WILLOUGHBY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440949203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409184600 | ||||||||
| FaxNumber: | 4409184694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2014 | ||||||||
| LastUpdateDate: | 03/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35.131276 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.