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Organization
RAVINDRA GAUTAM, M.D., INC.
Active
Organization
RAVINDRA GAUTAM, M.D., INC.
Active
Other names
Ravindra Gautam MD
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRA MOHARPAL GAUTAM MD (CEO)
(760) 256-1004
Entity
Organization
Contact information
Practice address
930 W MAIN ST, BARSTOW, CA 92311-2654
(760) 256-1004
(760) 256-1055
Mailing address
930 W MAIN ST, BARSTOW, CA 92311-2654
(760) 256-1004
(760) 256-1055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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