Individual
DR. ABHINAV GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5511
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME113224
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2008
Last updated
08/22/2014
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