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General NPI Number Information
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NPI Number | 1326233727
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Entity Type | Individual
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Provider Name | GAUTAM P CHHAJED MD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2007
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 55 LAKE AVE N
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City | WORCESTER
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State | MA
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Zip | 01655-0002
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Country | US
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Telephone | 774-441-6767
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Fax | 774-441-6787
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Provider Business Mailing Address
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Address Line | 330 MOUNT AUBURN ST # 2
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5597
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Country | US
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Telephone | 617-499-5112
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Fax | 617-575-8608
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 235042
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 235042
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License Number State | MA
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