Individual
GAUTAM ELANGO EDHAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSE
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BP10070247
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME181294
FL
Other
Enumeration date
06/04/2019
Last updated
04/29/2026
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