Shanta Gautham in Grand Forks - Internal Medicine
Shanta Gautham - NPI 1851562375
Shanta Gautham is a Internal Medicine in Grand Forks, North Dakota. Shanta Gautham practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shanta Gautham is 1851562375. The last update date is 2019-03-05.
Shanta Gautham's current location address is 725 Hamline St - Altru Family Medicine Residency, Grand Forks, North Dakota. You can contact this provider via phone number 7017806800 and fax number 7817445358. The mailing address for Shanta Gautham is 725 Hamline St - Altru Family Medicine Residency, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shanta Gautham |
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Address | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, North Dakota |
Phone Number | 7017806800 |
Fax Number | 7817445358 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1851562375 |
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Provider Enumeration Date | 2008-03-13 |
Last Updated Date | 2019-03-05 |
Provider Mailing Address Detail
Address | 725 Hamline St - Altru Family Medicine Residency |
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City | Grand Forks |
State | North Dakota (ND) |
Post Code | 58203 |
Phone Number | 7017806800 |
Fax Number | 7817445358 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 11672 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Shanta Gautham's 1851562375?
The Shanta Gautham's NPI (National Provider Identifier) Number is 1851562375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shanta Gautham is located?
The Shanta Gautham is situated at the following address: 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND, 58203.
What is Shanta Gautham's area of expertise and its corresponding taxonomy classification?
The Shanta Gautham's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1851562375 to Shanta Gautham?
The Shanta Gautham received its 1851562375 assignment from the Centers for Medicare & Medicaid Services on 2008-03-13.
When was the Shanta Gautham's information last updated?
The Shanta Gautham's information was last updated on 2019-03-05.
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