IndividualActive
Kancherla Rao, M.D.
NPI 1154461572 · Adolescent Medicine (Family Medicine) Physician · Lorain, OH
Provider details
- NPI number
- 1154461572
- Entity type
- Individual
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35046832 (OH)
Practice location
6140 S Broadway
Lorain, OH 44053-3821
Phone: (440) 204-4364
Fax: (440) 233-9070
Mailing address
11124 Woodbury Lane
Elyria, OH 44035
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2013-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.