Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gautam Adusumilli, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497336184

Gautam Adusumilli, MD is a Student in an Organized Health Care Education/Training Program in Stanford, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 498-7387

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A208887 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497336184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

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