Provider Demographics
NPI:1043283021
Name:RAU, NARAHARISETTY LEELA (MD)
Entity type:Individual
Prefix:
First Name:NARAHARISETTY
Middle Name:LEELA
Last Name:RAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1098
Mailing Address - Country:US
Mailing Address - Phone:317-612-2727
Mailing Address - Fax:317-554-2721
Practice Address - Street 1:1001 W 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2859
Practice Address - Country:US
Practice Address - Phone:317-612-2727
Practice Address - Fax:317-612-2727
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010308042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100323730AMedicaid
IN165490WMedicare PIN
IN100323730AMedicaid
IN165490119Medicare PIN