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Contact Information

GAVIN R BUDHRAM, MD
759 CHESTNUT STREET
SPRINGFIELD, MA01199
 Phone: 413-794-3233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GAVIN R BUDHRAM · (Male)

NPI # 1851596134
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2007
Last updated 03/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 235511
  • MN License # 103100
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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