Gautam Phookan, MD
Gautam Phookan, MD is a Neurological Surgery Physician in Muncie, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2525 W University Ave Ste 503Muncie, IN 47303-3409
Phone: (765) 288-0441
Fax: (765) 282-7879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence 01050143A (IN) |
|---|---|
| Neurological Surgery Physician | Taxonomy 207T00000X · Licence 1050143 (IN) |
Record details
| NPI number | 1093750978 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 16, 2022 |
| Mailing address | 250 N Shadeland Ave, Indianapolis, IN 46219-4959 |
Other providers in Muncie
-
Indianapolis Neurosurgical Group
2525 W University Ave Ste 503, Muncie, IN 47303-3421 · (765) 288-0441