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Samir Gautam, MD,PHD
Student in an Organized Health Care Education/Training Program in West Haven, Connecticut
NPI 1730568429

Samir Gautam is a Student in an Organized Health Care Education/Training Program based in New 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 and holds a License No. (Connecticut).

The current practice location address for Samir Gautam is 950 Campbell Ave # 11Acsl1, West Haven, CT and can be reached out via phone at 203-688-8300. You can also correspond with Samir Gautam through the mailing address at 20 YORK ST, NEW HAVEN, CT - 06510-3220 (mailing address contact number: ).

Location: 950 Campbell Ave # 11Acsl1, West Haven, CT, 06510-3220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730568429
Provider Name
Samir Gautam
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
950 Campbell Ave # 11Acsl1, West Haven, CT, 06510-3220
Phone Number
203-688-8300
Fax Number
Provider Enumeration Date
05/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
950 Campbell Ave # 11Acsl1
City
West Haven
State
Connecticut
Zip
06516-2770
Phone Number
203-688-8300
Fax Number
person
Provider Business Mailing Address Details
Address
950 Campbell Ave # 11Acsl1
City
West Haven
State
Connecticut
Zip
06516-2770
Phone Number
203-688-8300
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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