GAUTAM RAO DO NPI 1962934547

NPI Information

  • NPI: 1962934547
  • Provider Name: GAUTAM RAO, DO
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 603 E AMBER ST STE 103
    SAN ANTONIO, TX
    ZIP 78221
  • Phone: (210) 660-5040

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NPI Details

Gautam Rao, DO is a vascular and interventional radiology radiology in San Antonio, TX with 9 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Gautam Rao, DO NPI is 1962934547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2017

The provider's business location address is:

603 E AMBER ST STE 103
SAN ANTONIO, TX
ZIP 78221-456
Phone: (210) 660-5040
Fax: (210) 660-5045

The NPI 1962934547 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 4/1/2017 and was last updated on 10/3/2024.

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
12085R0204XRadiologyVascular & Interventional Radiology010219ARIZONANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32085R0204XRadiologyVascular & Interventional RadiologyS1898TEXASYes

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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