Individual
RAO GUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
22774
NE
2086S0129X
Vascular Surgery Physician
D0062067
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02736
BCBS NE
NE
05
—
0720946
—
IA
01
—
250374
MIDLANDS CHOICE
NE
01
—
25640
BCBS IA
IA
01
—
4707367990009
UPREHS
NE
01
—
P00320937
RAILROAD
NE
Enumeration date
06/06/2006
Last updated
04/21/2025
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