Chaudhuri, Gautam
Chaudhuri, Gautam is an individual health care provider with primary practice located at 200 Medical Plaza Suite 430, Los Angeles CA 90095-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Chaudhuri, Gautam can be contacted via phone (310) 206-6575.Contact Information
Primary practice address
200 Medical Plaza Suite 430
Los Angeles CA 90095-0001
Phone: (310) 206-6575
Fax: (310) 206-2057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A34861 | California |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A34861 | California |
Profile Details
| NPI number | 1053357095 |
|---|---|
| LBN Legal business name | Chaudhuri, Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Feb 13th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053357095 | NPPES |
| California | MEDICAID | 00A348610 |
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