Rao, Gautam

Rao, Gautam is an individual health care provider with primary practice located at 22 S Greene St Suite S3Ax-19, Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Rao, Gautam can be contacted via phone (667) 214-1302.

Contact Information

Primary practice address
22 S Greene St Suite S3Ax-19 Baltimore MD 21201-1544
Phone: (667) 214-1302
Fax: (410) 328-3379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD39934 Tennessee
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X D72905 Maryland

Profile Details

NPI number 1407930514
LBN Legal business name Rao, Gautam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 31st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407930514 NPPES
Maryland MEDICAID 440080100
Maryland Other 4164064

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