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Nishant Gautam
Student in an Organized Health Care Education/Training Program in Monroe, Louisiana
NPI 1295416741

Nishant Gautam is a Student in an Organized Health Care Education/Training Program based in Monroe, LA. Nishant Gautam practices in Monroe, LA. The NPI Number for Nishant Gautam is 1295416741 and holds a License No. (Louisiana).

The current practice location address for Nishant Gautam is 4864 Jackson St, Monroe, LA and can be reached out via phone at 318-330-7600.

Location: 4864 Jackson St, Monroe, LA, 71202-6400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295416741
Provider Name
Nishant Gautam
Credential
Provider Entity Type
Individual
Gender
Male
Address
4864 Jackson St, Monroe, LA, 71202-6400
Phone Number
318-330-7600
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4864 Jackson St
City
Monroe
State
Louisiana
Zip
71202-6400
Phone Number
318-330-7600
Fax Number
person
Provider Business Mailing Address Details
Address
4864 Jackson St
City
Monroe
State
Louisiana
Zip
71202-6400
Phone Number
318-330-7600
Fax Number
person
Provider's Taxonomy Details 1
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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