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

SAMIR GAUTAM, M.D., PH.D.

Active Sole Proprietor

SAMIR GAUTAM, M.D., PH.D. is a Student (Health Education/Training) healthcare provider located in WEST HAVEN, Connecticut. NPI 1730568429 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · WEST HAVEN, CT

Registration Details

NPI Number
1730568429
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2015 (11.18966862231 yrs)
Last Updated
May 27, 2015
Sole Proprietor
Yes

Practice Information

Address
950 CAMPBELL AVE # 11ACSL1
VA CONNECTICUT HEALTHCARE SYSTEM
WEST HAVEN, CT, 065162770
Browse CT providers · Browse ZIP 06516
Phone
2036888300
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in WEST HAVEN, CT

Name Credential NPI
AMY G OGURICK 1669867776
DR. FRIEDEL DANIEL OD 1831750207
RACHEL MARIE MENZE 1013551241
STEPHANIE SHONGUT 1225877996
MS. KRISTJANA HYKA 1790573889
KATIE LAW OD 1467340950
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.