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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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