Prachi Gautam
Pediatric Nephrology | Female
Prachi Gautam is a Bronx, New York based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Prachi Gautam is
2015 Grand Concourse, Bronx, New York - 10453. She can be contacted on phone at
718-299-7295.
Prachi Gautam is a sole proprietor of her business.
NPI number (Unique professional ID) for Prachi Gautam is
1740687755 which was assigned by NPPES on 20 Nov, 2014 and it was last updated on 15 Jun, 2021.
Prachi Gautam license number is
291597 for Pediatrics Pediatric Nephrology (2080P0210X) in New York.
Prachi Gautam 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.
Complete Profile:
Prachi Gautam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Prachi Gautam |
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| Gender : | Female |
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Business Address:
Prachi Gautam 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 : | 2015 Grand Concourse
Bronx, NY, 10453
United States |
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| Phone Number : | 718-299-7295 |
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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 : | 1740687755 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Nov, 2014 |
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| Last Updated On : | 15 Jun, 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 Prachi Gautam are as mentioned. Primary taxonomy code for Prachi Gautam is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | 291597 | NY |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
450 CLARKSON AVE,
BROOKLYN, NY, 11203-2012
United States | BROOKLYN, NY | 718-270-2078 |
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 : | 1434 Williamsbridge Rd
Bronx, NY, 10461-2507
United States |
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| Phone Number : | 718-618-0401 |
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| Fax Number : | 347-479-1303 |
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Business Location:
Patients can refer following map for directions to
Prachi Gautam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.