Gautam, Rohit
Gautam, Rohit is an individual health care provider with primary practice located at 4 Main St , Van Buren ME 04785-1009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Gautam, Rohit can be contacted via phone (207) 868-2796.Contact Information
Primary practice address
4 Main St
Van Buren ME 04785-1009
Phone: (207) 868-2796
Fax: (207) 868-2799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 018786 | Maine |
Profile Details
| NPI number | 1780994194 |
|---|---|
| LBN Legal business name | Gautam, Rohit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Sep 19th, 2013 - about 12 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 | 1780994194 | NPPES |
| Other | 002435201 | MEDICARE PTAN |
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