Gautam, Ravindra Moharpal

Gautam, Ravindra Moharpal is an individual health care provider with primary practice located at 930 W Main St , Barstow CA 92311-2654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gautam, Ravindra Moharpal can be contacted via phone (760) 256-1004.

Contact Information

Primary practice address
930 W Main St Barstow CA 92311-2654
Fax: (760) 256-1055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A56418 California

Profile Details

NPI number 1891791703
LBN Legal business name Gautam, Ravindra Moharpal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated May 9th, 2024 - about 2 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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