Paul, Gautam

Paul, Gautam is an individual health care provider with primary practice located at 4900 Houston Rd , Florence KY 41042-4824. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Paul, Gautam can be contacted via phone (859) 301-8074.

Contact Information

Primary practice address
4900 Houston Rd Florence KY 41042-4824
Phone: (859) 301-8074
Fax: (859) 301-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48312 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X TP284 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48312 Kentucky

Profile Details

NPI number 1629334099
LBN Legal business name Paul, Gautam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Feb 6th, 2024 - about 10 months 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 1629334099 NPPES
Indiana MEDICAID 201323420
Indiana MEDICAID 0128628
Indiana Other P01502961
Indiana MEDICAID 7100349130

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