Provider Demographics
NPI:1871698688
Name:RAO, SURENDRA D (MD)
Entity type:Individual
Prefix:DR
First Name:SURENDRA
Middle Name:D
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3-3420 KUHIO HIGHWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1098
Mailing Address - Country:US
Mailing Address - Phone:808-246-1687
Mailing Address - Fax:808-246-0895
Practice Address - Street 1:3-3420 KUHIO HWY
Practice Address - Street 2:SUITE B
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1098
Practice Address - Country:US
Practice Address - Phone:808-246-1687
Practice Address - Fax:808-246-0895
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2010-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-122662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology