Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2015-01544 | NC |
N | 111NI0900X | Internist | 2015-01544 | NC |
N | 207RA0401X | Internist - Addiction Medicine | 2015-01544 | NC |
N | 207RH0000X | Hematologist | 2015-01544 | NC |
Y | 207RH0002X | Hospice and Palliative Medicine | 2015-01544 | NC |
N | 207RH0003X | Hematology & Oncology | 2015-01544 | NC |
N | 207RX0202X | Medical Oncology | 2015-01544 | NC |
NPI | 1427170554 |
---|---|
Provider Name | Dr. Gautam Kale |
First Address | Greensboro, NC 27403-1118 |
Second Address | Greensboro, NC 27403-1118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 17/09/2021 |