Prachi Gautam
Prachi Gautam is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Works from 2 locations. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
Bronx, NYNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 450 Clarkson Ave, Brooklyn, NY 11203-2012 — (718) 270-2078
Specialties & licences
| Pediatric Nephrology Physician (primary) | Taxonomy 2080P0210X · Licence 291597 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740687755 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 20, 2014 |
| Last updated in NPPES | June 15, 2021 |
| Certification date | June 15, 2021 |
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