Individual provider · Type 1 NPI

Samir Gautam, MD, PhD

Student in an Organized Health Care Education/Training Program · West Haven, CT

NPI number 1730568429 Active

Practice location

950 Campbell Ave # 11ACSL1, Va Connecticut Healthcare System
West Haven, CT 06516-2770

Call (203) 688-8300 Map

Mailing address

20 York St, Yale-New Haven Hospital
New Haven, CT 06510-3220

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 1730568429

Samir Gautam, MD, PhD's National Provider Identifier is 1730568429, issued on May 27, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Haven, CT. The record was last updated on May 27, 2015.