Individual
RAKSHITH GADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7618
(508) 941-6299
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
(508) 941-6299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1234
AZ
208M00000X
Hospitalist Physician
Primary
254311
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097598A
—
MA
05
—
345994
—
AZ
01
—
P00624321
RAILROAD MEDICARE
AZ
Enumeration date
06/03/2008
Last updated
03/07/2025
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