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Gautami Gandham
Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma
NPI 1639631690

Gautami Gandham is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Gautami Gandham practices in Tulsa, OK. The NPI Number for Gautami Gandham is 1639631690 and holds a License No. T3952 (Oklahoma).

The current practice location address for Gautami Gandham is 1145 S Utica Ave, Tulsa, OK and can be reached out via phone at 918-579-2367.

Location: 1145 S Utica Ave, Tulsa, OK, 74104-4070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639631690
Provider Name
Gautami Gandham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1145 S Utica Ave, Tulsa, OK, 74104-4070
Phone Number
918-579-2367
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1145 S Utica Ave
City
Tulsa
State
Oklahoma
Zip
74104-4000
Phone Number
918-579-2367
Fax Number
person
Provider Business Mailing Address Details
Address
1145 S Utica Ave
City
Tulsa
State
Oklahoma
Zip
74104-4000
Phone Number
918-579-2367
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
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Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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.
T3952 (Texas)
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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