Gandham, Gautami

Gandham, Gautami is an individual health care provider with primary practice located at 1145 S Utica Ave , Tulsa OK 74104-4000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Gandham, Gautami can be contacted via phone (918) 579-2367.

Contact Information

Primary practice address
1145 S Utica Ave Tulsa OK 74104-4000
Phone: (918) 579-2367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X T3952 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1639631690
LBN Legal business name Gandham, Gautami
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Jun 24th, 2022 - 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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