Individual
DR. ROHIT GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 MAIN ST, VAN BUREN, ME 04785-1009
(207) 868-2796
(207) 868-2799
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-2359
(207) 498-3947
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
018786
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002435201
MEDICARE PTAN
—
Enumeration date
10/19/2010
Last updated
09/19/2013
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