Individual
DR. GAUTAM SUBBAIAH KALYATANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1600, SW ARCHER ROAD, BOX 100277, GAINESVILLE, FL 32608-0277
(352) 294-5445
Mailing address
1600, SW ARCHER ROAD, BOX 100277, GAINESVILLE, FL 32608-0277
(352) 294-5445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244719
MA
207RI0200X
Infectious Disease Physician
Primary
ME128695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017893700
—
FL
Enumeration date
07/08/2010
Last updated
04/15/2026
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