Rao, Gautami Kondamodi
Rao, Gautami Kondamodi is an individual health care provider with primary practice located at 242 W Parkway , Pompton Plains NJ 07444-1029. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Rao, Gautami Kondamodi can be contacted via phone (908) 522-2829.Contact Information
Primary practice address
242 W Parkway
Pompton Plains NJ 07444-1029
Phone: (908) 522-2829
Fax: (908) 522-6147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 044606 | Connecticut |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 25MA08365500 | New Jersey |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA08365500 | New Jersey |
Profile Details
| NPI number | 1083795264 |
|---|---|
| LBN Legal business name | Rao, Gautami Kondamodi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Feb 16th, 2022 - about 4 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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