Individual
MR. SUBARNA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7146
(336) 564-4866
(336) 277-6815
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4866
(336) 277-6815
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2025-01329
NC
208M00000X
Hospitalist Physician
MD477958
PA
Other
Enumeration date
04/19/2019
Last updated
08/22/2025
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