DR. MRUDULA RAO (NPI# 1417990078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417990078 |
| Entity Type | Individual |
| Full Name | DR. MRUDULA RAO |
| Credential | MD |
| Practice Address |
711 E Josephine St San Antonio TX 78208-1027 |
| Mailing Address |
3031 Ih 10 W San Antonio TX 78201-5159 |
| Practice Telephone | 2107311300 |
| Practice Fax Number | 2107388025 |
| Mailing Telephone | 2107311300 |
| Mailing Fax Number | 2107388025 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
K3633 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
711 E JOSEPHINE ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78208-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558301374 | Trina Welz | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2006-06-08 |
| 1174659783 | Francisco P Velasquez | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2007-02-26 |
| 1386779254 | John M Downs | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2007-02-22 |
| 1528002094 | Russell Meyer | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2006-06-15 |
| 1588607501 | Virgina L Ford | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2006-06-14 |
| 1578506598 | Warren Grimes | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2006-06-14 |
| 1730122979 | James S Castro | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2006-06-14 |
| 1932149762 | Charlie Voight | Counselor | 711 E Josephine St, San Antonio, TX 78208-1027 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021475 | Crosspoint, Inc. | Counselor | 1502 N. Panam Expressway, San Antonio, TX 78208 | 2018-11-07 |
| 1104927326 | Shakil Ahmed Khan | Family Medicine | 919 Locket St, San Antonio, TX 78208 | 2006-09-26 |
| 1760932081 | San Antonio Aids Foundation | Internal Medicine | 818 E Grayson St, San Antonio, TX 78208-1013 | 2016-10-11 |
| 1720496276 | American Specialty Pharmacy Inc | Pharmacy | 818 E Grayson St Ste A, San Antonio, TX 78208-1013 | 2014-07-29 |
| 1013438605 | Maria Elena Alonso | Pharmacist | 818 E Grayson St, San Antonio, TX 78208-1013 | 2017-07-05 |
| 1831237205 | Grayson Square Health Care Center | Skilled Nursing Facility | 815 E Grayson St, San Antonio, TX 78208-1014 | 2007-02-01 |
| 1497238828 | Monica Roshawn Williams | Occupational Therapy Assistant | 815 E Grayson St, San Antonio, TX 78208-1014 | 2018-09-11 |
| 1588145718 | Elizabeth Banuelos | Occupational Therapy Assistant | 815 E Grayson St, San Antonio, TX 78208-1014 | 2018-08-26 |
| 1760775522 | Rj Meridian Care of San Antonio IIi LLC | Skilled Nursing Facility | 815 E Grayson St, San Antonio, TX 78208-1014 | 2011-05-25 |
| 1124644513 | Mercedes Woodard | Licensed Vocational Nurse | 1722 N Pine St, San Antonio, TX 78208-1148 | 2020-06-22 |
| Find all providers in zip 78208 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588076343 | Amber Mansoor | Psychiatry & Neurology | 16007 Via Shavano Ste 101, San Antonio, TX 78249-2359 | 2014-05-28 |
| 1376858217 | Charles H. Sargent, M.d., P.a. | Psychiatry & Neurology | 2832 Nacogdoches Rd, San Antonio, TX 78217-5827 | 2010-08-16 |
| 1730372400 | Leonard Eugene Lawrence | Psychiatry & Neurology | 3107 Sable Crk, San Antonio, TX 78259-2636 | 2007-08-24 |
| 1124140793 | Lydia R Lopez, M.d., P.a. | Psychiatry & Neurology | 12915 Jones Maltsberger Rd Ste 603, San Antonio, TX 78247-4256 | 2007-04-04 |
| 1942372057 | John Charles Burnside | Psychiatry & Neurology | 13535 Jones Maltsberger Rd, San Antonio, TX 78247-3928 | 2006-11-14 |
| 1558446153 | Moises Gonzalo Rodriguez | Psychiatry & Neurology | 8535 Wurzbach Rd Ste 108, San Antonio, TX 78240-1263 | 2006-10-25 |
| 1972695021 | Elizabeth L. Mitchell | Psychiatry & Neurology | 11124 Wurzbach Rd Ste 300, San Antonio, TX 78230-2445 | 2006-09-28 |
| 1891707725 | Kenneth Lee Matthews | Psychiatry & Neurology | 13620 Nw Military Hwy., Bldg. 3, Suite 2, San Antonio, TX 78231 | 2006-08-12 |
| 1659382174 | Brigitte Bailey | Psychiatry & Neurology | 7703 Floyd Curl Dr # 7792, Uthscsa. Dept of Psychiatry, San Antonio, TX 78229-3901 | 2006-08-10 |
| 1316980816 | James A Rogers | Psychiatry & Neurology | 211 Patterson Ave, San Antonio, TX 78209-6230 | 2006-06-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78208 |
Please comment or provide details below to improve the information on DR. MRUDULA RAO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.