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Contact Information

GAUTAM RAO, MD
22 S GREENE ST
SUITE S3AX-19
BALTIMORE, MD21201-1544
 Phone: 667-214-1302
 Fax: 410-328-3379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GAUTAM RAO · (Male)

NPI # 1407930514
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 05/31/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D72905
  • TN License # MD39934
  • MD Medicaid 440080100
  • TN Other 4164064 BCBS TN
Hospital affiliation(s)
  • UNIVERSITY OF MARYLAND MEDICAL CENTER - (Acute Care)
    22 SOUTH GREENE STREET
    BALTIMORE, MD 21201
  • UPPER CHESAPEAKE MEDICAL CENTER - (Acute Care)
    500 UPPER CHESAPEAKE DRIVE
    BEL AIR, MD 21014
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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