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Gautam Phookan, MD
Neurological Surgery Physician in Muncie, Indiana
NPI 1093750978

Gautam Phookan is a Neurological Surgery Physician based in Indianapolis, IN. Gautam Phookan practices in Muncie, IN and has the professional credentials of MD. The NPI Number for Gautam Phookan is 1093750978 and holds a License No. 1050143 (Indiana).

The current practice location address for Gautam Phookan is 2525 W University Ave Ste 503, Muncie, IN and can be reached out via phone at 765-288-0441 and via fax at 765-282-7879.

Location: 2525 W University Ave Ste 503, Muncie, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093750978
Provider Name
Gautam Phookan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2525 W University Ave Ste 503, Muncie, IN, 46219-4959
Phone Number
765-288-0441
Fax Number
765-282-7879
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061570015 01 IN MEDICARE
M22404245 01 IN MEDICARE
200206470A 05 IN
institution
Provider Business Practice Location Address Details
Address
2525 W University Ave Ste 503
City
Muncie
State
Indiana
Zip
47303-3409
Phone Number
765-288-0441
Fax Number
765-282-7879
person
Provider Business Mailing Address Details
Address
2525 W University Ave Ste 503
City
Muncie
State
Indiana
Zip
47303-3409
Phone Number
765-288-0441
Fax Number
765-282-7879
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
1050143 (Indiana)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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