Kedia, Gautam
Kedia, Gautam is an individual health care provider with primary practice located at 3011 S Lindsay Rd Suite 105, Gilbert AZ 85295-4332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kedia, Gautam can be contacted via phone (480) 699-5536.Contact Information
Primary practice address
3011 S Lindsay Rd Suite 105
Gilbert AZ 85295-4332
Phone: (480) 699-5536
Fax: (480) 699-9283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44342 | Arizona |
Profile Details
| NPI number | 1518179373 |
|---|---|
| LBN Legal business name | Kedia, Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Dec 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518179373 | NPPES |
| Arizona | MEDICAID | 872220 |
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