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Gautam Mukund Phadke, MD
Nephrology Physician in Monroe, North Carolina
NPI 1396997649

Gautam Mukund Phadke is a Nephrology Physician based in Charlotte, NC and is specialized in Nephrology. Gautam Mukund Phadke practices in Monroe, NC and has the professional credentials of MD. The NPI Number for Gautam Mukund Phadke is 1396997649 and holds a License No. 11322 (North Carolina).

The current practice location address for Gautam Mukund Phadke is 1640 Campus Park Dr, Monroe, NC and can be reached out via phone at 704-226-0366.

Location: 1640 Campus Park Dr, Monroe, NC, 28237-7938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396997649
Provider Name
Gautam Mukund Phadke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1640 Campus Park Dr, Monroe, NC, 28237-7938
Phone Number
704-226-0366
Fax Number
Provider Enumeration Date
10/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1640 Campus Park Dr
City
Monroe
State
North Carolina
Zip
28112-5283
Phone Number
704-226-0366
Fax Number
person
Provider Business Mailing Address Details
Address
1640 Campus Park Dr
City
Monroe
State
North Carolina
Zip
28112-5283
Phone Number
704-226-0366
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
2009006929 (Missouri)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.
11322 (North Dakota)
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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