Chand, Gotam

Chand, Gotam is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chand, Gotam can be contacted via phone (706) 774-5795.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 774-5795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 64346 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 064346 Georgia

Profile Details

NPI number 1437318524
LBN Legal business name Chand, Gotam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Jun 6th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437318524 NPPES
Georgia MEDICAID 513967754A

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