Dr. Amitabh Gautam
Surgeon Transplant Surgeon
725 Albany St Shapiro 7th Floor, Suite 7a
Boston
, Massachusetts 02118-2526
Dr. Amitabh Gautam
Surgeon Transplant Surgeon
725 Albany St Shapiro 7th Floor, Suite 7a
Boston
, Massachusetts 02118-2526
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About
Features
Specialties
- Transplant Surgeon
- Surgeon
Languages spoken
- English
Location
First Address
- Dr. Amitabh Gautam
- 720 Harrison Ave Dob 503
- Boston, MA
- Zip : 02118-2371
- Phone :
Second Address
- Dr. Amitabh Gautam
- 725 Albany St Shapiro 7th Floor, Suite 7a
- Boston, MA
- Zip : 02118-2526
- Fax : (617) 638-8427
- Phone : (617) 638-8430
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Is Dr. Amitabh Gautam a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgeon | 233660 | MA |
| N | 208200000X | Surgeon | 233660 | MA |
| N | 208600000X | Surgeon | 233660 | MA |
National Provider Identifier
| NPI | 1750389565 |
|---|---|
| Provider Name | Dr. Amitabh Gautam |
| First Address | Boston, MA 02118-2371 |
| Second Address | Boston, MA 02118-2526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 13/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110003575A | (05) | MA |
| 9023429 | (05) | RI |
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.