Individual
GAUTAM ROHATGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(636) 376-0079
(636) 677-8440
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
(314) 206-3908
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2008034457
MO
2084P0800X
Psychiatry Physician
Primary
2008034457
MO
Other
Enumeration date
11/02/2006
Last updated
02/07/2024
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