Dr. Kanekal Suresh Gautham
MBBS, MD, DM, MS | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Kanekal Suresh Gautham, MBBS, MD, DM, MS is a Houston, Texas based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Kanekal Suresh Gautham is
6701 Fannin St, Houston, Texas - 77030-2608. He can be contacted on phone at
832-824-1000.
Dr. Kanekal Suresh Gautham is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kanekal Suresh Gautham is
1972611911 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 28 Sep, 2021.
Dr. Kanekal Suresh Gautham license number is
ME150626 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Florida.
Dr. Kanekal Suresh Gautham is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Kanekal Suresh Gautham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Kanekal Suresh Gautham |
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| Credential : | MBBS, MD, DM, MS |
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| Gender : | Male |
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Business Address:
Dr. Kanekal Suresh Gautham 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 : | 6701 Fannin St
Houston, TX, 77030-2608
United States |
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| Phone Number : | 832-824-1000 |
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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 : | 1972611911 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 28 Sep, 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 Dr. Kanekal Suresh Gautham are as mentioned. Primary taxonomy code for Dr. Kanekal Suresh Gautham, MBBS, MD, DM, MS is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | TL26586 | SC |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | Q2855 | TX |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | ME150626 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kanekal Suresh Gautham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110863200 | MEDICAID | FL | |
| Q09841 | MEDICAID | SC | |
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 : | 10140 Centurion Pkwy N
Jacksonville, FL, 32256-0532
United States |
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| Phone Number : | 904-697-4127 |
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Business Location:
Patients can refer following map for directions to
Dr. Kanekal Suresh Gautham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.