# G.S,RAO,M.D,P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114263746
- **Authorized official:** DR. GORANTLA S RAO M.D (OWNER)
- **Authorized official phone:** (256) 881-1111

## Contact information

- **Practice address:** 1425 WEATHERLY RD SE, HUNTSVILLE, AL 35803-1178
- **Practice address phone:** (256) 881-1111
- **Mailing address:** 1425 WEATHERLY RD SE, HUNTSVILLE, AL 35803-1178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 8243 | AL | Yes |

## Other

- **Enumeration date:** 01/01/2013
- **Last updated:** 11/19/2019