Indira Gautam MD

NPI 1043283005 - Family Medicine - 207Q00000X

NPI Details
NPI 1043283005
Gender Female
Enumeration Date 02/09/2006
Last Updated 06/17/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
327 IBERIA ST
SUITE #3A
YOUNGSVILLE LA, 70592-5738, US
Phone (337) 857-3512
Fax (337) 857-3513
Business Location
327 IBERIA ST
SUITE #3A
YOUNGSVILLE LA, 70592-5738, US
Phone (337) 857-3512
Fax (337) 857-3513
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 15134R
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According to our database, Indira Gautam MD NPI is 1043283005, taxonomy code is 207Q00000X and license number is 15134R, license state is located at Louisiana. Indira Gautam MD physically located at 327 Iberia St, Youngsville LA, 70592-5738. NPI Number Indira Gautam MD has the Individual type.

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1043283005 NPI number is provided on an as is basis without warranty of any kind. 1043283005 is maintained by the National Plan & Provider Enumeration System. The contents of Indira Gautam MD are for informational purposes only.