Organization
RAMESH S GAUD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH S GAUD MD (PROFESSIONAL CORPORATION)
(219) 866-5614
Entity
Organization
Contact information
Practice address
770 W WINDING RD, RENSSELAER, IN 47978-7284
(219) 866-5614
(219) 866-5731
Mailing address
PO BOX 10, RENSSELAER, IN 47978-0010
(219) 866-5614
(219) 866-5731
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01028099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100312650
—
IN
Enumeration date
01/29/2008
Last updated
03/27/2014
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