Doctor Name: | GEORGINA SRINIVAS RAO |
NPI Number: | 1306971015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036098889 |
Business Practice Address: | 2455 Dean Street 3g St. Charles, IL - 60175 |
Business Phone Number: | 6302622640 |
Business Fax Number: | 6302622645 |
Mailing Address: | 2455 Dean St, Unit 3g ST CHARLES |
State: | IL |
Postal Code: | 601754830 |
Phone Number: | 6302622640 |
Fax Number: | 6302622645 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0805X |
License Number: | 036098889 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Geriatric Psychiatry |
Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |