Individual
DASHRATH NARAYAN GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 287-8596
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01086498A
IN
207R00000X
Internal Medicine Physician
4301112724
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
57.248799
OH
Other
Enumeration date
07/06/2017
Last updated
10/14/2025
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