Ravindra M Gautam, MD
Internal Medicine in Barstow, California
1891791703- Practice location
- 930 W Main St, Barstow, CA 92311-2654
- Phone
- 760-256-1004
- Fax
- 760-256-1055
- Last updated
- May 9, 2024
Ravindra Moharpal Gautam is an Internal Medicine based in Barstow, CA. Ravindra Moharpal Gautam practices in Barstow, CA and has the professional credentials of MD. The NPI Number for Ravindra Moharpal Gautam is 1891791703 and holds a License No. A56418 (CA). The current practice location address for Ravindra Moharpal Gautam is 930 W Main St, Barstow, CA 92311-2654 and can be reached out via phone at 760-256-1004 and via fax at 760-256-1055.
Provider Profile Details
- NPI Number
- 1891791703
- Provider Name
- Ravindra Moharpal Gautam
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 930 W Main St, Barstow, CA 92311-2654
- Phone Number
- 760-256-1004
- Fax Number
- 760-256-1055
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2005
- Last Update Date
- May 9, 2024
- Certification Date
- May 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 930 W Main St
Barstow, CA 92311-2654 - City
- Barstow
- State
- California
- Zip
- 92311-2654
- Phone Number
- 760-256-1004
- Fax Number
- 760-256-1055
Provider Business Mailing Address Details
- Address
- Po Box 35389
Belfast, ME 04915-0631 - City
- Belfast
- State
- ME
- Zip
- 04915-0631
- Phone Number
- 760-256-1004
- Fax Number
- 760-256-1055
License Information
- License Number
- A56418
- License State
- CA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Barstow, CA
View all Internal Medicine providers in Barstow →Frequently Asked Questions
What is the NPI number of Ravindra M Gautam, MD?
The NPI number of Ravindra M Gautam, MD is 1891791703. It was assigned on June 24, 2005 and is currently active in the NPPES registry.
What is the specialty of Ravindra M Gautam, MD?
Ravindra M Gautam, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CA under license number A56418.
Where does Ravindra M Gautam, MD practice?
The practice location is 930 W Main St, Barstow, CA 92311-2654. The office can be reached at 760-256-1004 (phone) or 760-256-1055 (fax).
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 1891791703 directly on the NPPES registry website.