Individual
DR. GAUTAM PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6380 CLARK AVE, DUBLIN, CA 94568-3036
(925) 875-1677
(925) 875-0826
Mailing address
6380 CLARK AVE, DUBLIN, CA 94568-3036
(925) 875-1677
(925) 875-0826
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A103317
CA
Other
Enumeration date
05/03/2007
Last updated
05/21/2013
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