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Contact Information

PRAVEEN K GOOTAM, MD
13000 BRUCE B. DOWNS BLVD
JAMES A. HALEY VA
TAMPA, FL33612
 Phone: 813-972-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PRAVEEN K GOOTAM · (Male)

NPI Number 1417148610
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2007
Last updated 12/31/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME99352
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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