Active NPIIndividual provider

Arun Gautam, MD

Internal Medicine, Pulmonary Disease in Rolla, Missouri

NPI Number1649621293
Practice location
1050 W 10TH St, Rolla, MO 65401-2905
Fax
573-426-2108
Last updated
April 25, 2025

Arun Gautam is an Internal Medicine, Pulmonary Disease based in Rolla, MO. Arun Gautam practices in Rolla, MO and has the professional credentials of MD. The NPI Number for Arun Gautam is 1649621293 and holds a License No. 2022033924 (MO). The current practice location address for Arun Gautam is 1050 W 10TH St, Rolla, MO 65401-2905 and can be reached out via phone at 573-364-9000 and via fax at 573-426-2108.

Provider Profile Details

NPI Number
1649621293
Provider Name
Arun Gautam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1050 W 10TH St, Rolla, MO 65401-2905
Phone Number
573-364-9000
Fax Number
573-426-2108
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2016
Last Update Date
April 25, 2025
Certification Date
April 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1050 W 10TH St
Rolla, MO 65401-2905
City
Rolla
Zip
65401-2905
Phone Number
573-364-9000
Fax Number
573-426-2108
Rolla, MO 65401Get directions →

Provider Business Mailing Address Details

Address
1050 W 10TH St
Rolla, MO 65401-2905
City
Rolla
State
MO
Zip
65401-2905
Phone Number
573-364-9000
Fax Number
573-426-2108

License Information

License Number (1)
2022033924
License State (1)
MO
License Number (2)
2022033924
License State (2)
MO
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

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 Arun Gautam, MD?

The NPI number of Arun Gautam, MD is 1649621293. It was assigned on June 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Arun Gautam, MD?

Arun Gautam, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in MO under license number 2022033924.

Where does Arun Gautam, MD practice?

The practice location is 1050 W 10TH St, Rolla, MO 65401-2905. The office can be reached at 573-364-9000 (phone) or 573-426-2108 (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 1649621293 directly on the NPPES registry website.

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