Individual
DR. GAUTAM SIRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE STE 1660, CHEVY CHASE, MD 20815-4322
(301) 657-9876
Mailing address
5530 WISCONSIN AVE STE 1660, CHEVY CHASE, MD 20815-4322
(301) 657-9876
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0074565
MD
207X00000X
Orthopaedic Surgery Physician
MD040782
DC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
D0074565
MD
Other
Enumeration date
08/11/2008
Last updated
11/26/2014
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