Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAUTAM PHOOKAN, MD
ActiveGAUTAM PHOOKAN, MD is a Neurological Surgery healthcare provider located in MUNCIE, Indiana. NPI 1093750978 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · MUNCIE, IN
Registration Details
- NPI Number
- 1093750978
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2006 (20.190102127414 yrs)
- Last Updated
- Dec 16, 2022
- Licenses
-
1050143 (IN)01050143A (IN)
Practice Information
- Address
-
2525 W UNIVERSITY AVE STE 503MUNCIE, IN, 473033409Browse IN providers · Browse ZIP 47303
- Phone
- 7652880441
- Fax
- 7652827879
- Primary Specialty
-
Neurological Surgery
207T00000X
- Additional Specialty
- Neurological Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.