Individual provider · Type 1 NPI

Gautami Kondamodi Rao, MD

Neurology Physician · Pompton Plains, NJ

NPI number 1083795264 Active

Practice location

242 W Parkway
Pompton Plains, NJ 07444-1029

Call (908) 522-2829 Map

Fax (908) 522-6147

Mailing address

PO Box 416457
Boston, MA 02241-6457

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician 2084N0600X044606 (CT)
Clinical Neurophysiology Physician 2084N0600X25MA08365500 (NJ)
Neurology Physician Primary 2084N0400X25MA08365500 (NJ)

Neurology Physician: 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.

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About NPI 1083795264

Gautami Kondamodi Rao, MD's National Provider Identifier is 1083795264, issued on Oct 17, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Pompton Plains, NJ. The record was last updated on Feb 16, 2022.