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Gauthami Balagopal, MD
Student in an Organized Health Care Education/Training Program in Cambridge, Massachusetts
NPI 1679223762

Gauthami Balagopal is a Student in an Organized Health Care Education/Training Program based in Cambridge, MA. Gauthami Balagopal practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Gauthami Balagopal is 1679223762 and holds a License No. (Massachusetts).

The current practice location address for Gauthami Balagopal is 1493 Cambridge St, Cambridge, MA and can be reached out via phone at 617-665-1000.

Location: 1493 Cambridge St, Cambridge, MA, 02139-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679223762
Provider Name
Gauthami Balagopal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1493 Cambridge St, Cambridge, MA, 02139-1099
Phone Number
617-665-1000
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1493 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02139-1099
Phone Number
617-665-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1493 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02139-1099
Phone Number
617-665-1000
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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