Individual
DR. GAUTAM K PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3512
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38044
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A601820
—
CA
Enumeration date
12/30/2005
Last updated
03/09/2021
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