Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohan Gautam

Individual provider Psychiatry Physician · NPI 1841797834

Mohan Gautam is a Psychiatry in Dearborn, Michigan. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2018, 8 years ago. Practices with University Physician Group, a 402-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

18001 Rotunda Dr
Dearborn, MI 48124-3984
Phone: (313) 633-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (313) 593-7000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5101026584 (MI)

Record details

NPI number1841797834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2018 (8 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dearborn