Individual
GAUTAM PRATAP YAGNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15955 SW 96TH ST STE 401, MIAMI, FL 33196-1273
(786) 467-3430
(786) 533-9695
Mailing address
PO BOX 100905, ATLANTA, GA 30384-0905
(786) 467-3430
(786) 533-9695
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD427446
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME101360
FL
Other
Enumeration date
12/11/2006
Last updated
01/30/2022
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