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1275108938 NPI number — GARIMA GAUTAM M.D.

NPI Number: 1275108938
Health Care Provider/Practitioner: GARIMA GAUTAM M.D.

Information about “1275108938” NPI (GARIMA GAUTAM M.D.) exists in 1275108938 in HTML format HTML  |  1275108938 in plain Text format TXT  |  1275108938 in PDF (Portable Document Format) PDF  |  1275108938 in an XML format XML  formats.

NPI Number : 1275108938 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275108938",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAUTAM",
    "FirstName": "GARIMA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1290 SILAS DEANE HIGHWAY",
    "SecondLineMailingAddress": "CREDENTIALING VERIFICATION ORGANIZATION, HARTFORD HEALT",
    "MailingAddressCityName": "WETHERSFIELD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-449-0827",
    "MailingAddressFaxNumber": "860-972-7040",
    "FirstLinePracticeLocationAddress": "100 GRAND STREET",
    "SecondLinePracticeLocationAddress": "HOSPITAL OF CENTRAL CONNECICUT",
    "PracticeLocationAddressCityName": "NEW BRITAIN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06052",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "959-595-1751",
    "PracticeLocationAddressFaxNumber": "860-266-5785",
    "EnumerationDate": "05/25/2021",
    "LastUpdateDate": "06/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "76442",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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