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

Prabesh Gautam, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1366115685

Prabesh Gautam, MD is an Anatomic Pathology & Clinical Pathology Physician in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (917) 365-9820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 57.251164 (OH)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 35.152286 (OH)

Record details

NPI number1366115685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2021
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026

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