Archana Gautam
Internist - Cardiovascular Disease
3500 Healthplex Pkwy Suite 200
Norman
, Oklahoma 73072-9738
Archana Gautam
Internist - Cardiovascular Disease
3500 Healthplex Pkwy Suite 200
Norman
, Oklahoma 73072-9738
(405) 360-6765
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Archana Gautam
- Po Box 1330
- Norman, OK
- Zip : 73070-1330
- Fax : (405) 360-6765
- Phone : (405) 360-3089
Second Address
- Archana Gautam
- 3500 Healthplex Pkwy Suite 200
- Norman, OK
- Zip : 73072-9738
- Fax : (405) 307-5617
- Phone : (405) 515-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 22150 | OK |
National Provider Identifier
| NPI | 1023158482 |
|---|---|
| Provider Name | Archana Gautam |
| First Address | Norman, OK 73070-1330 |
| Second Address | Norman, OK 73072-9738 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 21/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200113010B | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.