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Kancherla Rao, MD
Adolescent Medicine (Family Medicine) Physician in Lorain, Ohio
NPI 1154461572

Kancherla Rao is an Adolescent Medicine (Family Medicine) Physician based in Elyria, OH and is specialized in Adolescent Medicine. Kancherla Rao practices in Lorain, OH and has the professional credentials of MD. The NPI Number for Kancherla Rao is 1154461572 and holds a License No. 35046832 (Ohio).

The current practice location address for Kancherla Rao is 6140 S Broadway, Lorain, OH and can be reached out via phone at 440-204-4364 and via fax at 440-233-9070.

Location: 6140 S Broadway, Lorain, OH, 44035
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Provider Profile Details
NPI Number
1154461572
Provider Name
Kancherla Rao
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6140 S Broadway, Lorain, OH, 44035
Phone Number
440-204-4364
Fax Number
440-233-9070
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0069823 05 OH
institution
Provider Business Practice Location Address Details
Address
6140 S Broadway
City
State
Zip
44053-3821
Phone Number
440-204-4364
Fax Number
440-233-9070
person
Provider Business Mailing Address Details
Address
6140 S Broadway
City
State
Zip
44053-3821
Phone Number
440-204-4364
Fax Number
440-233-9070
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
License No.
35046832 (Ohio)
Definition
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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