Gautam, Prachi

Gautam, Prachi is an individual health care provider with primary practice located at 2015 Grand Concourse , Bronx NY 10453. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Gautam, Prachi can be contacted via phone (718) 299-7295.

Contact Information

Primary practice address
2015 Grand Concourse Bronx NY 10453
Phone: (718) 299-7295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 291597 New York

Profile Details

NPI number 1740687755
LBN Legal business name Gautam, Prachi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Jun 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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