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Individual
DR. KANEKAL SURESH GAUTHAM
Active
Individual
DR. KANEKAL SURESH GAUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD, DM, MS
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
ME150626
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
Q2855
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
TL26586
SC
Other
Enumeration date
08/29/2006
Last updated
02/13/2025
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