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Gautam Baskaran, MD
Pulmonary Disease Physician in Longview, Texas
NPI 1679732549

Gautam Baskaran is a Pulmonary Disease Physician based in Longview, TX and is specialized in Pulmonary Disease. Gautam Baskaran practices in Longview, TX and has the professional credentials of MD. The NPI Number for Gautam Baskaran is 1679732549 and holds a License No. 2011014212 (Texas).

The current practice location address for Gautam Baskaran is 705 E Marshall Ave Ste 5001, Longview, TX and can be reached out via phone at 903-315-4551 and via fax at 903-315-3415.

Location: 705 E Marshall Ave Ste 5001, Longview, TX, 75601-5524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679732549
Provider Name
Gautam Baskaran
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
705 E Marshall Ave Ste 5001, Longview, TX, 75601-5524
Phone Number
903-315-4551
Fax Number
903-315-3415
Provider Enumeration Date
06/05/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P02599916 01 TX MCRR
335691703 05 TX
institution
Provider Business Practice Location Address Details
Address
705 E Marshall Ave Ste 5001
City
Longview
State
Texas
Zip
75601-5524
Phone Number
903-315-4551
Fax Number
903-315-3415
person
Provider Business Mailing Address Details
Address
705 E Marshall Ave Ste 5001
City
Longview
State
Texas
Zip
75601-5524
Phone Number
903-315-4551
Fax Number
903-315-3415
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
()
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.
2011014212 (Missouri)
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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