Kakade, Gautam

Kakade, Gautam is an individual health care provider with primary practice located at 1316 S Main St , Clarion IA 50525-2019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kakade, Gautam can be contacted via phone (515) 532-2811.

Contact Information

Primary practice address
1316 S Main St Clarion IA 50525-2019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD-36193 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-36193 Iowa

Profile Details

NPI number 1992777049
LBN Legal business name Kakade, Gautam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 5th, 2015 - about 10 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 1992777049 NPPES
Iowa MEDICAID 0655001
Iowa MEDICAID 0600460
Iowa Other 33444
Iowa Other 66046
Iowa Other 03187
Iowa Other P00264034
Iowa MEDICAID 0283465
Iowa Other 161302
Iowa Other 163495
Iowa Other 16Z302
Iowa MEDICAID 0475806
Iowa Other 60046
Iowa MEDICAID 0293522
Iowa MEDICAID 0635011
Iowa Other 29352
Iowa MEDICAID 0424507
Iowa Other DA 1838
Iowa Other 36174

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