GADAM M RAO MD NPI 1871537431

NPI Information

  • NPI: 1871537431
  • Provider Name: GADAM M RAO, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • CLIA Number: 45D1012728
  • Address: 1718 10TH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Phone: (940) 761-2229

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NPI Details

Gadam M Rao, MD is a pediatrics in Wichita Falls, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Gadam M Rao, MD NPI is 1871537431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1718 10TH ST
WICHITA FALLS, TX
ZIP 76301-053
Phone: (940) 761-2229
Fax: (940) 761-2220

The CLIA number assigned to this NPI record is 45D1012728 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 11/2/2011.

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
1208000000XPediatricsK1634TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10048AROTHERTEXASBLUE CROSS BLUE SHIELD
2092131401MEDICAIDTEXAS
38AJ053OTHERTEXASBCBS OF TX
4200532013OTHERTEXASPROFESSIONAL ASSOCIATION
5G33866MEDICARE UPINTEXAS
6092131402MEDICAIDTEXAS

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: 11/21/2025

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