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Individual

MR. GAURAV NIGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
911 STACY BURK DRIVE, FLORA, IL 62839
(618) 662-2131
(618) 662-1473
Mailing address
1605 E PLAZA DR, STE 103, TALLAHASSEE, FL 32308-5327
(850) 878-7271
(850) 878-1509

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2018-0881
NM

Other

Enumeration date
06/22/2011
Last updated
02/09/2024
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