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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, M.D., INC.

NPI # 1366490310
LBN Legal business name RAVINDRA GAUTAM, M.D., INC.
Authorized official RAVINDRA GAUTAM - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/04/2006
Last updated 11/27/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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