Gautam Rao
Gynecologic Oncologist
22 S Greene St Suite S3ax-19
Baltimore
, Maryland 21201-1544
Gautam Rao
Gynecologic Oncologist
22 S Greene St Suite S3ax-19
Baltimore
, Maryland 21201-1544
(410) 328-3379
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Gautam Rao
- 250 W Pratt St Suite 880
- Baltimore, MD
- Zip : 21201-2423
- Fax : (410) 328-3379
- Phone : (667) 214-1302
Second Address
- Gautam Rao
- 22 S Greene St Suite S3ax-19
- Baltimore, MD
- Zip : 21201-1544
- Fax : (410) 328-3379
- Phone : (667) 214-1302
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | D72905 | MD |
| N | 207VX0201X | Gynecologic Oncologist | MD39934 | TN |
National Provider Identifier
| NPI | 1407930514 |
|---|---|
| Provider Name | Gautam Rao |
| First Address | Baltimore, MD 21201-2423 |
| Second Address | Baltimore, MD 21201-1544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 31/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4164064 | BCBS TN (01) | TN |
| 440080100 | (05) | MD |
| H53261 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.