Individual
DR. GAUTAM JAYASWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
638 E YOUNG AVE, WARRENSBURG, MO 64093-9608
(913) 205-4305
Mailing address
8315 W 119TH TER, OVERLAND PARK, KS 66213-1225
(913) 685-3811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0427454
KS
207P00000X
Emergency Medicine Physician
Primary
2001031034
MO
207P00000X
Emergency Medicine Physician
34889
IA
207P00000X
Emergency Medicine Physician
60244
MN
207P00000X
Emergency Medicine Physician
66431
WI
207P00000X
Emergency Medicine Physician
DR.0056136
CO
Other
Enumeration date
10/24/2007
Last updated
01/19/2021
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