| Doctor Name: | DR. GOWTHAM ADAMANE RAO |
| NPI Number: | 1457397788 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PHD, MPH |
| License Number: | 52580-20 |
| Business Practice Address: | 3209 Colonial Dr Columbia, SC - 292036930 |
| Business Phone Number: | 8033867890 |
| Business Fax Number: | 8034348374 |
| Mailing Address: | 3209 Colonial Dr, COLUMBIA |
| State: | SC |
| Postal Code: | 292036930 |
| Phone Number: | 8033867890 |
| Fax Number: | 8034348374 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 12/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 52580-20 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |