Individual provider · Type 1 NPI

Kancherla Rao, MD

Adolescent Medicine (Family Medicine) Physician · Lorain, OH

NPI number 1154461572 Active

Practice location

6140 S Broadway
Lorain, OH 44053-3821

Fax (440) 233-9070

Mailing address

11124 Woodbury Lane
Elyria, OH 44035

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000X35046832 (OH)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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About NPI 1154461572

Kancherla Rao, MD's National Provider Identifier is 1154461572, issued on Feb 7, 2007. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Lorain, OH. The record was last updated on Feb 19, 2013.