Individual provider · Type 1 NPI

Gautam Mukund Phadke, MD

Nephrology Physician · Monroe, NC

NPI number 1396997649 Active

Practice location

1640 Campus Park Dr Ste C
Monroe, NC 28112-5284

Fax (704) 226-9535

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X2019-01383 (NC)
Nephrology Physician 207RN0300X11322 (ND)
Nephrology Physician 207RN0300X2009006929 (MO)
Student in an Organized Health Care Education/Training Program 390200000XRL10218 (ND)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1396997649

Gautam Mukund Phadke, MD's National Provider Identifier is 1396997649, issued on Oct 17, 2008. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Monroe, NC. The record was last updated on Apr 2, 2025.