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NPI Code Detail

MEDICARE: GAYATRI KAMAT M.D.

MEDICARE: GAYATRI KAMAT M.D.
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
1207R00000XInternal Medicine Physician049458GA

Other Identifiers

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

General Provider Information

NPI Number : 1134215072
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAYATRI KAMAT M.D.
Provider Business Mailing Address
First Line : 623 S HOUSTON LAKE RD
Second Line : SUITE 500
City : WARNER ROBINS
State : GA
Zip : 31088-9093
Country : US
Telephone Number : 478-333-6977
Fax Number : 478-333-6973
Provider Business Practice Location Address
First Line : 623 S HOUSTON LAKE RD
Second Line : SUITE 500
City : WARNER ROBINS
State : GA
Zip : 31088-9093
Country : US
Telephone Number : 478-333-6977
Fax Number : 478-333-6973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 01/30/2013

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Directions to “ GAYATRI KAMAT M.D.” Practice Location

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