Ravindra Gautam, M.D., Inc.

LBN: Ravindra Gautam, M.D., Inc.
Ravindra Gautam, M.D., Inc. is an health care organization with primary practice located at 930 W Main St , Barstow CA 92311-2654. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Ravindra Gautam, M.D., Inc. can be contacted via phone (760) 256-1004, or through Gautam, Ravindra M via phone (760) 256-1004.

Contact Information

Primary practice address
930 W Main St Barstow CA 92311-2654
Phone: (760) 256-1004
Fax: (760) 256-1055
Website:
Map and Directions
Authorized official contact:
Name: Gautam, Ravindra M Doctor of Medicine (MD)
Phone: (760) 256-1004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1366490310
LBN Legal business name Ravindra Gautam, M.D., Inc.
DBA Doing business as
Authorized official Gautam, Ravindra M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated May 29th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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