Gautam Mukund Phadke M.D.

NPI 1396997649 - Internal Medicine - 207RN0300X

NPI Details
NPI 1396997649
Gender Male
Enumeration Date 10/17/2008
Last Updated 06/22/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
801 BROADWAY N
SANFORD HEALTH CARE SYSTEM
FARGO ND, 58102-3641, US
Phone (701) 234-8000
Fax
Business Location
801 BROADWAY N
SANFORD HEALTH CARE SYSTEM
FARGO ND, 58102-3641, US
Phone (701) 234-8000
Fax
Toxanomy
Taxonomy Code 207RN0300X
License State Missouri
License Number 2009006929
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According to our database, Gautam Mukund Phadke M.D. NPI is 1396997649, taxonomy code is 207RN0300X and license number is 2009006929, license state is located at Missouri. Gautam Mukund Phadke M.D. physically located at 801 Broadway N, Fargo ND, 58102-3641. NPI Number Gautam Mukund Phadke M.D. has the Individual type.

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1396997649 NPI number is provided on an as is basis without warranty of any kind. 1396997649 is maintained by the National Plan & Provider Enumeration System. The contents of Gautam Mukund Phadke M.D. are for informational purposes only.