Shovendra Gautam MD

NPI 1184936270 - Internal Medicine - 207R00000X

NPI Details
NPI 1184936270
Gender Male
Enumeration Date 07/06/2010
Last Updated 07/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
100 GRAND ST
NEW BRITAIN CT, 06052-2016, US
Phone (860) 224-5011
Fax
Business Location
24 HOSPITAL AVE
APT 102
DANBURY CT, 06810-6099, US
Phone (484) 478-1213
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Connecticut
License Number 48882
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According to our database, Dr. Shovendra Gautam MD NPI is 1184936270, taxonomy code is 207R00000X and license number is 48882, license state is located at Connecticut. Shovendra Gautam MD physically located at 100 Grand St, New Britain CT, 06052-2016. NPI Number Shovendra Gautam MD has the Individual type.

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1184936270 NPI number is provided on an as is basis without warranty of any kind. 1184936270 is maintained by the National Plan & Provider Enumeration System. The contents of Shovendra Gautam MD are for informational purposes only.