Phadke, Gautam Mukund

Phadke, Gautam Mukund is an individual health care provider with primary practice located at 1640 Campus Park Dr , Monroe NC 28112-5283. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Phadke, Gautam Mukund can be contacted via phone (704) 226-0366.

Contact Information

Primary practice address
1640 Campus Park Dr Monroe NC 28112-5283
Phone: (704) 226-0366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 11322 North Dakota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2009006929 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RL10218 North Dakota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2019-01383 North Carolina

Profile Details

NPI number 1396997649
LBN Legal business name Phadke, Gautam Mukund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Jul 7th, 2023 - about last year

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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