NPI 1083795264

Gautami Kondamodi Rao, MD

Practitioner Neurology Physician Pompton Plains, NJ

Practice location

Address: 242 W Parkway, Pompton Plains, NJ 07444-1029
Phone: (908) 522-2829
Fax: (908) 522-6147
Mailing address: PO Box 416457, Boston, MA 02241-6457

Registered specialties (3)

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 25MA08365500 (NJ)

Other Psychiatry & Neurology providers in New Jersey →

Clinical Neurophysiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0600X Licence 044606 (CT)

Clinical Neurophysiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0600X Licence 25MA08365500 (NJ)

Registry record

NPI: 1083795264
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2006
Record last updated: 16 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.