Gautham, Shanta

Gautham, Shanta is an individual health care provider with primary practice located at 725 Hamline St - Altru Family Medicine Residency , Grand Forks ND 58203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gautham, Shanta can be contacted via phone (701) 780-6800.

Contact Information

Primary practice address
725 Hamline St - Altru Family Medicine Residency Grand Forks ND 58203
Phone: (701) 780-6800
Fax: (781) 744-5358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11672 North Dakota

Profile Details

NPI number 1851562375
LBN Legal business name Gautham, Shanta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 5th, 2019 - about 5 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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