Gautam, Robin S.

Gautam, Robin S. is an individual health care provider with primary practice located at 667 Eastland Ave Se , Warren OH 44484-4503. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Gautam, Robin S. can be contacted via phone (330) 841-4507.

Contact Information

Primary practice address
667 Eastland Ave Se Warren OH 44484-4503
Phone: (330) 841-4507
Fax: (330) 841-4193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35070187S Ohio
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 35070187S Ohio

Profile Details

NPI number 1104801836
LBN Legal business name Gautam, Robin S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 14th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104801836 NPPES
Ohio MEDICAID 2137593

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