Individual provider · Type 1 NPI

Swotantra Gautam, MD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1689301004 Active

Practice location

920 Madison Avenue Suite 447
Memphis, TN 38163-4603

Call (615) 269-4545 Map

Mailing address

4220 Harding Pike Dept
Nashville, TN 37205-2005

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689301004

Swotantra Gautam, MD's National Provider Identifier is 1689301004, issued on Aug 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Jun 23, 2025.