Individual provider · Type 1 NPI

Prachi Gautam

Pediatric Nephrology Physician · Bronx, NY

NPI number 1740687755 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453

Call (718) 299-7295 Map

Mailing address

1434 Williamsbridge Rd
Bronx, NY 10461-2507

Other practice locations

  • 450 Clarkson Ave, Brooklyn, NY 11203-2012 · (718) 270-2078

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Nephrology Physician Primary 2080P0210X291597 (NY)

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

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About NPI 1740687755

Prachi Gautam's National Provider Identifier is 1740687755, issued on Nov 20, 2014. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Bronx, NY. The record was last updated on Jun 15, 2021.