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Gautam Nagendra
Pediatric Gastroenterology Physician in Loma Linda, California
NPI 1265827802

Gautam Nagendra is a Pediatric Gastroenterology Physician based in Loma Linda, CA and is specialized in Pediatric Gastroenterology. Gautam Nagendra practices in Loma Linda, CA. The NPI Number for Gautam Nagendra is 1265827802 and holds a License No. (California).

The current practice location address for Gautam Nagendra is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-4773. You can also correspond with Gautam Nagendra through the mailing address at 11175 CAMPUS STREET COLEMAN PAVILION CP -A1120, LOMA LINDA, CA - 92350-0001 (mailing address contact number: 909-558-4773).

Location: 11234 Anderson St, Loma Linda, CA, 92350-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265827802
Provider Name
Gautam Nagendra
Credential
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 92350-0001
Phone Number
909-558-4773
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4773
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4773
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
A155780 (California)
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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