institution
Indira Gautam Md A Professional Medical Corporation
Family Medicine Physician in Youngsville, Louisiana
NPI 1235531989

Indira Gautam Md A Professional Medical Corporation is a Family Medicine Physician based in Youngsville, LA. Indira Gautam Md A Professional Medical Corporation practices in Youngsville, LA. The NPI Number for Indira Gautam Md A Professional Medical Corporation is 1235531989 and holds a License No. 15134R (Louisiana).

The current practice location address for Indira Gautam Md A Professional Medical Corporation is 327 Iberia St, Youngsville, LA and can be reached out via phone at 337-857-3512. You can also correspond with Indira Gautam Md A Professional Medical Corporation through the mailing address at 327 IBERIA ST, YOUNGSVILLE, LA - 70592-6370 (mailing address contact number: 337-857-3512).

Location: 327 Iberia St, Youngsville, LA, 70592-6370
institution
Provider Profile Details
NPI Number
1235531989
Provider Name
Indira Gautam Md A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
327 Iberia St, Youngsville, LA, 70592-6370
Phone Number
337-857-3512
Fax Number
Provider Enumeration Date
09/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1191167 05 LA
institution
Provider Business Practice Location Address Details
Address
327 Iberia St
City
State
Zip
70592-6370
Phone Number
337-857-3512
Fax Number
person
Provider Business Mailing Address Details
Address
327 Iberia St
City
State
Zip
70592-6370
Phone Number
337-857-3512
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
15134R (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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