Individual
DR. GAUTAM R MOORJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19272 STONE OAK PARKWAY, SUITE 101, SAN ANTONIO, TX 78258
(210) 265-8851
(210) 265-8855
Mailing address
19272 STONE OAK PARKWAY, SUITE 101, SAN ANTONIO, TX 78258
(210) 265-8851
(210) 265-8855
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
N0997
TX
208M00000X
Hospitalist Physician
20040814
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57579733
—
NM
Enumeration date
07/08/2006
Last updated
07/29/2024
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