Individual
DR. ROBIN S. GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 841-4507
(330) 841-4193
Mailing address
8166 MARKET ST, SUITE D, YOUNGSTOWN, OH 44512-6262
(330) 953-3242
(330) 953-3243
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
35070187S
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35070187S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137593
—
OH
Enumeration date
12/15/2005
Last updated
07/14/2016
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