Adusumilli, Gautam
Adusumilli, Gautam is an individual health care provider with primary practice located at 300 Pasteur Dr Alway Bldg Ste M121, Stanford CA 94305-2200. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Adusumilli, Gautam can be contacted via phone (650) 498-7387.Contact Information
Primary practice address
300 Pasteur Dr Alway Bldg Ste M121
Stanford CA 94305-2200
Phone: (650) 498-7387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1497336184 |
|---|---|
| LBN Legal business name | Adusumilli, Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2021 |
| Last updated | May 13th, 2021 - about 4 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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