Individual
DR. SWOTANTRA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-4603
(615) 269-4545
Mailing address
4220 HARDING PIKE DEPT, NASHVILLE, TN 37205-2005
(407) 371-8246
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
06/23/2025
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