# DR. GOWTHAM ADAMANE RAO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457397788
- **Gender:** Man
- **Credential:** M.D., PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | 34024 | SC | — |
| 207Q00000X | Family Medicine Physician | 34024 | SC | — |
| 207R00000X | Internal Medicine Physician | 34024 | SC | — |
| 207R00000X | Internal Medicine Physician | 52580-20 | WI | — |
| 208000000X | Pediatrics Physician | 34024 | SC | — |
| 2083C0008X | Clinical Informatics Physician | 34024 | SC | — |
| 2083C0008X | Clinical Informatics Physician | 52580-20 | WI | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 34024 | SC | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 52580-20 | WI | — |
| 208D00000X | General Practice Physician | 34024 | SC | — |
| 208D00000X | General Practice Physician | 52580-20 | WI | Yes |
| 208D00000X | General Practice Physician | 68057 | ZZ | — |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 03/15/2023