Individual
DR. GAUTAM GOPALJI JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, (DEPT OF MEDICINE), MINNEAPOLIS, MN 55455-0341
(612) 624-5373
Mailing address
420 DELAWARE ST SE, (DEPT OF MEDICINE), MINNEAPOLIS, MN 55455-0341
(612) 624-5373
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
50012
MN
Other
Enumeration date
05/24/2007
Last updated
03/22/2012
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