Gootam, Praveen K

Gootam, Praveen K is an individual health care provider with primary practice located at 13000 Bruce B. Downs Blvd James A. Haley Va, Tampa FL 33612. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Brain Injury Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gootam, Praveen K can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B. Downs Blvd James A. Haley Va Tampa FL 33612
Phone: (813) 972-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X ME99352 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME99352 Florida
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X ME99352 Florida

Profile Details

NPI number 1417148610
LBN Legal business name Gootam, Praveen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Dec 31st, 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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