Gautham Raghuthaman
Gautham Raghuthaman is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
900 8th AveFort Worth, TX 76104
Phone: (817) 336-2100
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1245125509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2025 |
| Last updated in NPPES | April 30, 2026 |
| Certification date | April 30, 2026 |
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