MEDICARE: MUM GAUTAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1316336233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUM GAUTAM

Provider Business Mailing Address
First Line	:	326 E GORDON LN APT 5
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2783
Country	:	US
Telephone Number	:	801-712-8565
Fax Number	:

Provider Business Practice Location Address
First Line	:	326 E GORDON LN APT 5
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2783
Country	:	US
Telephone Number	:	801-712-8565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	01/15/2015

Similar Medicare Providers

1497023675 — REAMS PHARMACY INC
Practice Location Address:

2783 S STATE ST
SALT LAKE CITY, UT
84115-3634

Practice Phone: 801-485-0054
Practice Fax: 801-485-0060

1720528912 — MARINE ONE, LLC
Practice Location Address:

610 NEWCASTLE DR
LAKE FOREST, IL
60045-2783

Practice Phone: 847-226-5458
Practice Fax:

1518489236 — TONI. O CARE SERVICES LLC.
Practice Location Address:

10862 CORY LAKE DR
TAMPA, FL
33647-2783

Practice Phone: 813-261-1190
Practice Fax: 813-261-1190

1518584317 — PUJA SHAH PHARMD
Practice Location Address:

10814 CORY LAKE DR
TAMPA, FL
33647-2783

Practice Phone: 678-787-4574
Practice Fax:

1740096973 — TRIO COMMUNITY MEALS, LLC
Practice Location Address:

2120 GARDEN LAKE PL
TOLEDO, OH
43614-2783

Practice Phone: 419-382-5791
Practice Fax:

1891657763 — CHARISSA D. PIZARRO, PSY. D. PSYCHOLOGICAL SERVICES LLC
Practice Location Address:

430 CENTRAL AVE
JERSEY CITY, NJ
07307-2783

Practice Phone: 973-520-6831
Practice Fax: 973-520-6831

Directions to “ MUM GAUTAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.