MEDICARE: GAUTAM PRATAP YAGNIK MD

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	207X00000X	Orthopaedic Surgery Physician	MD427446	PA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME101360	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609936475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAUTAM PRATAP YAGNIK MD

Provider Business Mailing Address
First Line	:	PO BOX 100905
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-0905
Country	:	US
Telephone Number	:	786-467-3430
Fax Number	:	786-533-9695

Provider Business Practice Location Address
First Line	:	15955 SW 96TH ST STE 401
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1273
Country	:	US
Telephone Number	:	786-467-3430
Fax Number	:	786-533-9695

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	01/30/2022

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1972441236 — JOSHUA MURILLO PA-C
Practice Location Address:

15955 SW 96TH ST STE 401
MIAMI, FL
33196-1273

Practice Phone: 786-467-3430
Practice Fax: 786-533-9695

1639165533 — DR. RAYMOND L PARKER M.D.
Practice Location Address:

15955 SW 96TH ST STE 306
MIAMI, FL
33196-1273

Practice Phone: 305-661-9404
Practice Fax: 305-661-1510

1588800502 — YUNIEL LOPEZ PA-C
Practice Location Address:

15955 SW 96TH ST STE 401
MIAMI, FL
33196-1273

Practice Phone: 786-467-3430
Practice Fax: 786-533-9695

1316170053 — EDUARDO B RODRIGUEZ P.A.C
Practice Location Address:

15955 SW 96TH ST STE 401
MIAMI, FL
33196-1273

Practice Phone: 786-467-3430
Practice Fax: 786-533-9695

1053722744 — DR. DALIBEL BRAVO M.D.
Practice Location Address:

15955 SW 96TH ST STE 401
MIAMI, FL
33196-1273

Practice Phone: 786-467-3430
Practice Fax:

Directions to “ GAUTAM PRATAP YAGNIK MD” 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 © 2007-2026 (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.