P. V. Narasimha Rao Expressway is an 11.6 km long elevated road connecting the Hyderabad International Airport with Mehdipatnam.

When the construction of the Rajiv Gandhi International Airport started in March 2005, the erstwhile Government of Andhra Pradesh came up with a plan to provide implement a Traffic signal free route from the city to Shamshabad.

The 3 routes which lead to Shamshabad from the city were NH44 (NH7) via Nehru Zoological Park, Srisailam Highway (NH765) and the Inner Ring Road, Hyderabad via Mehdipatnam.

It was last scheduled to be opened on October 2 but the inauguration was put off in view of the death of chief minister Y. S. Rajasekhara Reddy, who had laid the foundation stone for the project.

The Expressway starts at Sarojini Devi Eye Hospital in Mehdipatnam and merges with NH44 near Aramghar.