Gautami Kondamodi Rao in Pompton Plains - Clinical Neurophysiology
Gautami Kondamodi Rao - NPI 1083795264
Gautami Kondamodi Rao is a Clinical Neurophysiology in Pompton Plains, New Jersey. Gautami Kondamodi Rao practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Gautami Kondamodi Rao is 1083795264. The last update date is 2022-02-16.
Gautami Kondamodi Rao's current location address is 242 W Parkway, Pompton Plains, New Jersey. You can contact this provider via phone number 9085222829 and fax number 9085226147. The mailing address for Gautami Kondamodi Rao is 242 W Parkway, Pompton Plains, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gautami Kondamodi Rao |
|---|---|
| Address | 242 W Parkway, Pompton Plains, New Jersey |
| Phone Number | 9085222829 |
| Fax Number | 9085226147 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083795264 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2022-02-16 |
Provider Mailing Address Detail
| Address | 242 W Parkway |
|---|---|
| City | Pompton Plains |
| State | New Jersey (NJ) |
| Post Code | 74441029 |
| Phone Number | 9085222829 |
| Fax Number | 9085226147 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 44606 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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What is the unique 10-digit identification code issued to Gautami Kondamodi Rao by the Centers for Medicare & Medicaid Services?
The Gautami Kondamodi Rao has been assigned the NPI (National Provider Identifier) 1083795264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Gautami Kondamodi Rao?
The Gautami Kondamodi Rao is situated at 242 W Parkway, in the city of Pompton Plains, state of NJ, with the zip code 74441029.
What is Gautami Kondamodi Rao's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gautami Kondamodi Rao is Clinical Neurophysiology, and the taxonomy classification code that categorizes this area of expertise is 2084N0600X.
When was the Gautami Kondamodi Rao's 1083795264 issued?
The Gautami Kondamodi Rao's 1083795264 was issued on 2006-10-17.
When was the Gautami Kondamodi Rao's information last updated?
The Gautami Kondamodi Rao's information was last updated on 2022-02-16.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN