Gautam, Nischal Krishnamurthy
Gautam, Nischal Krishnamurthy is an individual health care provider with primary practice located at 6411 Fannin St Dept Of , Houston TX 77030-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Gautam, Nischal Krishnamurthy can be contacted via phone (713) 500-6222.Contact Information
Primary practice address
6411 Fannin St Dept Of
Houston TX 77030-1501
Phone: (713) 500-6222
Fax: (713) 500-6208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | E-4917 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | N9372 | Texas |
Profile Details
| NPI number | 1275696973 |
|---|---|
| LBN Legal business name | Gautam, Nischal Krishnamurthy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Feb 24th, 2023 - about last year |
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 | 1275696973 | NPPES |
| Other | P00402663 | RAILROAD MEDICARE | |
| MEDICAID | 163818001 | RAILROAD MEDICARE |
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