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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932900230

Pradip Gautam, MD is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Registered with an NPI since 2025.

In the registry since
2025
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

900 8th Ave
Fort Worth, TX 76104-3902
Phone: (817) 455-1143
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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

Record details

NPI number1932900230
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address900 8th Ave, Fort Worth, TX 76104-3902

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