Gautam, Sandeep

Gautam, Sandeep is an individual health care provider with primary practice located at 427 Us 31W Byp , Bowling Green KY 42101-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Gautam, Sandeep can be contacted via phone (270) 796-8800.

Contact Information

Primary practice address
427 Us 31W Byp Bowling Green KY 42101-1703
Phone: (270) 796-8800
Fax: (270) 796-9328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 45253 Kentucky

Profile Details

NPI number 1568416014
LBN Legal business name Gautam, Sandeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568416014 NPPES
Kentucky MEDICAID 7100209510

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