Samir Gautam, MD, PHD
Student in an Organized Health Care Education/Training Program in West Haven, Connecticut
1730568429- Practice location
- 950 Campbell Ave # 11ACSL1, VA Connecticut Healthcare System, West Haven, CT 06516-2770
- Phone
- 203-688-8300
- Fax
- —
- Last updated
- May 27, 2015
Samir Gautam is a Student in an Organized Health Care Education/Training Program based in West Haven, CT. Samir Gautam practices in West Haven, CT and has the professional credentials of MD, PHD. The NPI Number for Samir Gautam is 1730568429. The current practice location address for Samir Gautam is 950 Campbell Ave # 11ACSL1, VA Connecticut Healthcare System, West Haven, CT 06516-2770 and can be reached out via phone at 203-688-8300.
Provider Profile Details
- NPI Number
- 1730568429
- Provider Name
- Samir Gautam
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 950 Campbell Ave # 11ACSL1, VA Connecticut Healthcare System, West Haven, CT 06516-2770
- Phone Number
- 203-688-8300
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2015
- Last Update Date
- May 27, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave # 11ACSL1
VA Connecticut Healthcare System
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-688-8300
Provider Business Mailing Address Details
- Address
- 20 York St
Yale-New Haven Hospital
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near West Haven, CT
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Frequently Asked Questions
What is the NPI number of Samir Gautam, MD, PHD?
The NPI number of Samir Gautam, MD, PHD is 1730568429. It was assigned on May 27, 2015 and is currently active in the NPPES registry.
What is the specialty of Samir Gautam, MD, PHD?
Samir Gautam, MD, PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Samir Gautam, MD, PHD practice?
The practice location is 950 Campbell Ave # 11ACSL1, VA Connecticut Healthcare System, West Haven, CT 06516-2770. The office can be reached at 203-688-8300 (phone).
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 1730568429 directly on the NPPES registry website.