DR. SHYAM SUDARSHAN RAO


Address: 593 Eddy Street, Apc 7, Providence, RI 02903
Phone: 4014446788

DR. SHYAM SUDARSHAN RAO (NPI# 1982969416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982969416
Entity Type Individual
Full Name DR. SHYAM SUDARSHAN RAO
Credential M.D.
Practice Address 593 Eddy Street
Apc 7
Providence
RI 02903
Mailing Address 117 Ellenfield St Ste 101
Providence
RI 02905-4513
Practice Telephone 4014446788
Practice Fax Number 4014448366
Mailing Telephone 4014446779
Enumeration Date 2012-07-10
Last Update Date 2018-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD16305 RI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
18101 Lorain Ave, Cleveland, OH 441115612 2164767029

Other Providers SHYAM RAO

NPI Name Taxonomy Address Enumeration
1578603395 Shyam V N Rao Dentist 1601 Tanglewood Avenue, Hanover Park, IL 60133 2007-02-08
1568729580 Shyam Rao Internal Medicine 8330 Red Oak St Ste 201, Rancho Cucamonga, CA 91730-0603 2012-04-15
1265559694 Shyam S.d. Rao Radiology 4501 X St, G0140, Sacramento, CA 95817-2229 2007-03-22

Office Location

Street Address 593 EDDY STREET
APC 7
City PROVIDENCE
State RI
Zip Code 02903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528065430 Sandra M Jamieson Physician Assistant 593 Eddy Street, Grad Dorms, Providence, RI 02903 2005-07-07
1447810742 Lucasjorge Santana De Castro Alves Internal Medicine 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903 2019-06-18
1659935070 Janine Pedersen Nurse Practitioner 593 Eddy Street, Apc Main, Providence, RI 02903 2019-05-01
1851853972 Clarence Chow Anesthesiology 593 Eddy Street, Davol 129, Providence, RI 02903 2019-04-06
1083183743 Alexa Siminsky Dietitian, Registered 593 Eddy Street, Providence, RI 02903-1888 2018-11-24
1134696396 Danielle Mary White Physician Assistant 593 Eddy Street, Apc 4, Providence, RI 02903 2018-10-25
1669948659 Meghan Keady Nurse Practitioner 593 Eddy Street, Providence, RI 02903 2018-10-17
1568943538 Molly Meth Psychologist 593 Eddy Street, Potter 1, Providence, RI 02903 2018-08-27
1437639168 Priscilla D Ventura-medeiros Nurse Practitioner 593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903-4923 2018-08-21
1427537604 David Allen Gardner Jr. Nurse Practitioner 593 Eddy Street, Apc Main, Providence, RI 02903 2018-08-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215597000 Liqi Shu Psychiatry & Neurology Rhode Island Hospital, 593 Eddy St, Providence, RI 02903-4923 2019-06-14
1396703294 Israel Yaar Psychiatry & Neurology Davis Park (127a), Va Medical Center, Providence, RI 02908 2006-05-02
1720045438 Stephen T Mernoff Psychiatry & Neurology 877 Chalkstone Ave, Providence, RI 02908-4728 2006-04-27
1184609398 Michael A Friedman Psychiatry & Neurology 146 W River St, Suite 11b, Providence, RI 02904-2609 2005-12-09
1518580703 Sanaya Daruvala Psychiatry & Neurology 593 Eddy St, Providence, RI 02903-4923 2020-05-21
1699398933 Macdonell Stanford Psychiatry & Neurology 593 Eddy St, Providence, RI 02903-4923 2020-05-21
1376101162 Daniel Mandel Psychiatry & Neurology 593 Eddy St, Providence, RI 02903-4923 2019-06-05
1952968125 Cody Sanders Psychiatry & Neurology 593 Eddy St, Providence, RI 02903-4923 2019-05-23
1407413578 Maheen Rana Psychiatry & Neurology 593 Eddy St, Providence, RI 02903-4923 2019-05-23
1679069900 Natalie Erlich-malona Psychiatry & Neurology 593 Eddy St, Providence, RI 02903-4923 2018-07-10
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02903

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Dataset Information

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.

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