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Individual
GAUTAM KAKADE
Active
Individual
GAUTAM KAKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-36193
IA
207X00000X
Orthopaedic Surgery Physician
Primary
MD-36193
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283465
—
IA
05
—
0293522
—
IA
01
—
03187
BC/BS
IA
05
—
0424507
—
IA
05
—
0475806
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
01
—
161302
WMC MEDICARE
IA
01
—
163495
WMC FPC MEDICARE
IA
01
—
16Z302
WMC MEDICARE SKILLED
IA
01
—
29352
WMC-BCBS ER
IA
01
—
33444
WMC FPC - BCBS
IA
01
—
36174
WMC - BCBS DME
IA
01
—
60046
WMC-BCBS
IA
01
—
66046
WMC BCBS SNF
IA
01
—
DA 1838
WMC FPC - MEDICARE RR
IA
01
—
P00264034
RR MEDICARE
IA
Enumeration date
02/03/2006
Last updated
01/05/2015
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