Gautam, Sudarson
Gautam, Sudarson is an individual health care provider with primary practice located at 40 Elmdale St Apt 2, West Springfield MA 01089-2706. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as his primary health care specialty. Gautam, Sudarson can be contacted via phone (413) 727-1376.Contact Information
Primary practice address
40 Elmdale St Apt 2
West Springfield MA 01089-2706
Phone: (413) 727-1376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 11319 | Massachusetts |
Profile Details
| NPI number | 1619372182 |
|---|---|
| LBN Legal business name | Gautam, Sudarson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2014 |
| Last updated | Oct 27th, 2014 - about 11 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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