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GAUTAMI KONDAMODI RAO M.D. NPI 1083795264


NPI Information

NPI: 1083795264
Provider Name: GAUTAMI KONDAMODI RAO, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
242 W PARKWAY
POMPTON PLAINS, NJ
ZIP 07444
Phone: (908) 522-2829
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Gautami Kondamodi Rao, M.D. is a neurology psychiatry neurology in Pompton Plains, NJ with 26 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Gautami Kondamodi Rao, M.D. NPI is 1083795264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

242 W PARKWAY
POMPTON PLAINS, NJ
ZIP 07444-029
Phone: (908) 522-2829
Fax: (908) 522-6147

The NPI 1083795264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical Neurophysiology044606CONNECTICUTNo
22084N0600XPsychiatry & NeurologyClinical Neurophysiology25MA08365500NEW JERSEYNo
32084N0400XPsychiatry & NeurologyNeurology25MA08365500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.