National Provider Identifier Database

MANJUSHREE GAUTAM, MD – NPI #1831172725
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

MANJUSHREE GAUTAM, MD
1250 8TH AVE
SUITE 515
FORT WORTH, TX76104-4124
Phone: 817-922-4675
Fax: 817-922-4645
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X
Hepatology 207RI0008X
Transplant Hepatology 207RT0003X

* Indicates primary specialty

NPI Profile & details for MANJUSHREE GAUTAM

NPI Number 1831172725
Credentials MD
Entity Individual
Enumeration date 11/23/2005
Last updated 07/21/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 33778
  • TX License #: N6309
  • AZ Medicaid: 935554
  • TX Medicaid: 217199301
  • AZ Other: P00278312 RAILROAD MEDICARE
  • AZ Other: 86080015085259D008 TRIWEST
  • TX Other: 8BN847 BCBSTX
Hospital affiliation n/a

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.

Reviews for MANJUSHREE GAUTAM, MD

There are currently no reviews for MANJUSHREE GAUTAM, MD


NPIdb - Home
v2.201