Individual
ROHIT GAUTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9205 S SHARTEL AVE APT 201, OKLAHOMA CITY, OK 73139-5214
(405) 512-1109
Mailing address
9205 S SHARTEL AVE APT 201, OKLAHOMA CITY, OK 73139-5214
(405) 512-1109
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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