Gautam Nagendra
Pediatric Gastroenterology | Male
Gautam Nagendra is a Loma Linda, California based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Gautam Nagendra is
11234 Anderson St, Loma Linda, California - 92354-2804. He can be contacted on phone at
909-558-4773.
Gautam Nagendra is a sole proprietor of his business.
NPI number (Unique professional ID) for Gautam Nagendra is
1265827802 which was assigned by NPPES on 31 Mar, 2015 and it was last updated on 05 Oct, 2021.
Gautam Nagendra license number is
A155780 for Pediatrics Pediatric Gastroenterology (2080P0206X) in California.
Gautam Nagendra specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Gautam Nagendra basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Gautam Nagendra |
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| Gender : | Male |
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Business Address:
Gautam Nagendra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11234 Anderson St
Loma Linda, CA, 92354-2804
United States |
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| Phone Number : | 909-558-4773 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265827802 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Mar, 2015 |
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| Last Updated On : | 05 Oct, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gautam Nagendra are as mentioned. Primary taxonomy code for Gautam Nagendra is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | A155780 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11175 Campus Street Coleman Pavilion Cp -a1120
Loma Linda, CA, 92350-0001
United States |
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| Phone Number : | 909-558-4773 |
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| Fax Number : | 909-558-0479 |
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Business Location:
Patients can refer following map for directions to
Gautam Nagendra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.