| Doctor Name: | RAKHESH GUTTIKONDA |
| NPI Number: | 1073889465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 13307 |
| Business Practice Address: | 230 Prospect Place Suite 310 Coronado, CA - 92118 |
| Business Phone Number: | 6194371388 |
| Business Fax Number: | 6194371857 |
| Mailing Address: | 230 Prospect Place, Suite 310 CORONADO |
| State: | CA |
| Postal Code: | 92118 |
| Phone Number: | 6194371388 |
| Fax Number: | 6194371857 |
| NPI Enumeration Date: | 03/29/2012 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 13307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |