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Contact Information

RAVINDRA GAUTAM, M.D., INC.
930 W MAIN ST
BARSTOW, CA92311-2654
 Phone: 760-256-1004
 Fax: 760-256-1055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiac Rehabilitation

163WC3500X
 

Hospitalist

208M00000X
 

Rehabilitation: Cardiac Facilities

261QR0404X
Indicates primary specialty

NPI Profile & details for RAVINDRA GAUTAM MD INC · (Female)

NPI Number 1366490310
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2006
Last updated 11/27/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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