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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAUTAM MUKUND PHADKE, M.D.

Active

Nephrology · MONROE, NC

Registration Details

NPI Number
1396997649
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2008 (17.57761683081 yrs)
Last Updated
Apr 2, 2025
Licenses
2019-01383 (NC)
11322 (ND)
2009006929 (MO)
RL10218 (ND)

Practice Information

Address
1640 CAMPUS PARK DR STE C
MONROE, NC, 281125284
Browse NC providers · Browse ZIP 28112
Phone
7042260366
Fax
7042269535
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Nephrology
Additional Specialty
Nephrology

Other Nephrology Providers in MONROE, NC

Name Credential NPI
ANDREW S O'CONNOR DO 1679581326
DR. PRANAB ACHARYA M.D., MPH 1629385117
MRS. BRITTANI LEDFORD APRN 1235576372
ROOPA SHAH MD 1619396108
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.