NPI 1982969416 · live from the CMS NPI Registry
Shyam Sudarshan Rao, M.D.
Psychiatry & Neurology, Neurology in Detroit, MI. National Provider Identifier 1982969416, active.
NPI record
| NPI | 1982969416 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2799 W Grand Blvd, Detroit, MI 48202 |
| Practice phone | 800-653-6568 |
| Mailing address | 1 Ford Pl Ste 2e, Detroit, MI 48202 |
| Enumerated | July 10, 2012 |
| Last updated | May 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | MD16305 (RI) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 4301103657 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.