Individual
GAUTAMI KONDAMODI RAO
Active
Individual
GAUTAMI KONDAMODI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08365500
NJ
2084N0600X
Clinical Neurophysiology Physician
044606
CT
2084N0600X
Clinical Neurophysiology Physician
25MA08365500
NJ
Other
Enumeration date
10/17/2006
Last updated
02/16/2022
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