Gautam, Shovendra

Gautam, Shovendra is an sole proprietor health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gautam, Shovendra can be contacted via phone (860) 224-5011.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48882 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48882 Connecticut

Profile Details

NPI number 1184936270
LBN Legal business name Gautam, Shovendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2010
Last updated Jul 6th, 2010 - about 15 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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