Individual ProviderSanjana RaoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1611 NW 12th Ave, Miami, FL 33136-1005(305) 585-1111(305) 243-4000PECOS EnrollmentBased on the most recent information from CMS, provider Sanjana Rao is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1144806530Provider TypeIndividualFull NameRao, SanjanaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/24/2021Last Updated5/29/2024Contact InformationPractice LocationPractice Address1611 NW 12th Ave, Miami, FL 33136-1005Phone(305) 585-1111FaxUnlisted FaxMailing LocationMailing Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 243-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense166885Florida