Gautam, Dipendra
Gautam, Dipendra is an individual health care provider with primary practice located at 113 Riverwalk Blvd S Suite 111-50, Madera CA 93636. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Gautam, Dipendra can be contacted via phone (703) 626-9334.Contact Information
Primary practice address
113 Riverwalk Blvd S Suite 111-50
Madera CA 93636
Phone: (703) 626-9334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT298252 | California |
Profile Details
| NPI number | 1437879624 |
|---|---|
| LBN Legal business name | Gautam, Dipendra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2022 |
| Last updated | Apr 25th, 2024 - about 7 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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