Individual
GAUTAM DAGUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
801 SAINT MARYS DR STE 510, EVANSVILLE, IN 47714-0511
(812) 485-5990
Mailing address
801 SAINT MARYS DR STE 510, EVANSVILLE, IN 47714-0511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11023975A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2025
Last updated
06/18/2025
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