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Sujan Gautam, NP
Family Nurse Practitioner in San Francisco, California
NPI 1790499630

Sujan Gautam is a Family Nurse Practitioner based in San Francisco, CA and is specialized in Family. Sujan Gautam practices in San Francisco, CA and has the professional credentials of NP. The NPI Number for Sujan Gautam is 1790499630 and holds a License No. 95023796 (California).

The current practice location address for Sujan Gautam is 900 Folsom St Apt 414, San Francisco, CA and can be reached out via phone at 318-243-5254.

Location: 900 Folsom St Apt 414, San Francisco, CA, 94107-2170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790499630
Provider Name
Sujan Gautam
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
900 Folsom St Apt 414, San Francisco, CA, 94107-2170
Phone Number
318-243-5254
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Folsom St Apt 414
City
San Francisco
State
California
Zip
94107-2170
Phone Number
318-243-5254
Fax Number
person
Provider Business Mailing Address Details
Address
900 Folsom St Apt 414
City
San Francisco
State
California
Zip
94107-2170
Phone Number
318-243-5254
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95023796 (California)
Definition
Definition to come...
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