Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAUTAM GANGULY
Active Sole ProprietorGAUTAM GANGULY is a General Practice healthcare provider located in BEVERLY HILLS, Florida. NPI 1669849824 is currently active in the NPPES registry. Verify at CMS.
General Practice · BEVERLY HILLS, FL
Registration Details
- NPI Number
- 1669849824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2015 (10.951383191641 yrs)
- Last Updated
- Sep 12, 2025
- Licenses
-
019167 (PR)ACN1448 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3775 N LECANTO HWYBEVERLY HILLS, FL, 344653559Browse FL providers · Browse ZIP 34465
- Phone
- 3527460600
- Fax
- 3527460607
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in BEVERLY HILLS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ODELSA DIAZ ANDRES | M.D | 1770579245 |
| DR. JUAN GALVAN | MD | 1801381538 |
| FRANCIS J MERCADO-MIRANDA | MD | 1821654153 |
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.