Organization
GAUTAM SIRAM, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM SIRAM MD (DIRECTOR)
(301) 785-4559
Entity
Organization
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
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D0074565
MD
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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