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

DR. NITHIN GOTTAM, M.D

Active Sole Proprietor

DR. NITHIN GOTTAM, M.D is a Hospice and Palliative Medicine healthcare provider located in MAYWOOD, Illinois. NPI 1811150881 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · MAYWOOD, IL

Registration Details

NPI Number
1811150881
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2008 (18.11746549677 yrs)
Last Updated
Jun 19, 2015
Licenses
125055096 (IL)
4301097629 (MI)
4301097629 (MI)
Sole Proprietor
Yes

Practice Information

Address
2160 S 1ST AVE
MAYWOOD, IL, 601533328
Browse IL providers · Browse ZIP 60153
Phone
7082169000
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in MAYWOOD, IL

Name Credential NPI
BRUCE E LEWIS MD 1538238050
AMIR DARKI M.D. 1285835413
DR. DEMETRIOS DOUKAS D.O. 1801161906
GEM MOHAN MD 1164075156
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.