Active NPIIndividual providerSole proprietor

Vibha G Gautam, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism in New London, Connecticut

NPI Number1316042344
Practice location
393 Ocean Ave, New London, CT 06320-4717
Fax
860-443-5055
Last updated
July 8, 2007

Vibha G Gautam is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in New London, CT. Vibha G Gautam practices in New London, CT and has the professional credentials of MD. The NPI Number for Vibha G Gautam is 1316042344 and holds a License No. 021848 (CT). The current practice location address for Vibha G Gautam is 393 Ocean Ave, New London, CT 06320-4717 and can be reached out via phone at 860-442-5976 and via fax at 860-443-5055.

Provider Profile Details

NPI Number
1316042344
Provider Name
Vibha G Gautam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
393 Ocean Ave, New London, CT 06320-4717
Phone Number
860-442-5976
Fax Number
860-443-5055
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
393 Ocean Ave
New London, CT 06320-4717
Zip
06320-4717
Phone Number
860-442-5976
Fax Number
860-443-5055
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
393 Ocean Ave
New London, CT 06320-4717
City
New London
State
CT
Zip
06320-4717
Phone Number
860-442-5976
Fax Number
860-443-5055

License Information

License Number
021848
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vibha G Gautam, MD?

The NPI number of Vibha G Gautam, MD is 1316042344. It was assigned on September 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Vibha G Gautam, MD?

Vibha G Gautam, MD is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in CT under license number 021848.

Where does Vibha G Gautam, MD practice?

The practice location is 393 Ocean Ave, New London, CT 06320-4717. The office can be reached at 860-442-5976 (phone) or 860-443-5055 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316042344 directly on the NPPES registry website.

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