Individual
GAUTAM RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
603 E AMBER ST STE 103, SAN ANTONIO, TX 78221-2456
(210) 660-5040
(210) 660-5045
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
010219
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
S1898
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2017
Last updated
10/03/2024
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