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Gautam Adusumilli, MD
Student in an Organized Health Care Education/Training Program in Stanford, California
NPI 1497336184

Gautam Adusumilli is a Student in an Organized Health Care Education/Training Program based in Stanford, CA. Gautam Adusumilli practices in Stanford, CA and has the professional credentials of MD. The NPI Number for Gautam Adusumilli is 1497336184 and holds a License No. (California).

The current practice location address for Gautam Adusumilli is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 650-498-7387.

Location: 300 Pasteur Dr, Stanford, CA, 94305-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497336184
Provider Name
Gautam Adusumilli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Stanford, CA, 94305-2200
Phone Number
650-498-7387
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-498-7387
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-498-7387
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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