GAUTAM MALKANI (NPI# 1538113733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538113733 |
| Entity Type | Individual |
| Full Name | GAUTAM MALKANI |
| Credential | MD |
| Practice Address |
450 Medical Center Blvd Ste 600 Webster TX 77598-4234 |
| Mailing Address |
500 Medical Center Blvd Webster TX 77598-4220 |
| Practice Telephone | 7138521565 |
| Practice Fax Number | 8666386744 |
| Mailing Telephone | 2815544300 |
| Mailing Fax Number | 2815544355 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 26579 | AL | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M8155 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
26579 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00765175 | 01 |
| TX | 197703502 | 05 | |
| AL | UNITED HEALTH CARE | 7600062 | 01 |
| AL | 009932429 | 05 | |
| MS | 02588701 | 05 | |
| AL | BLUE CROSS | 51529983 | 01 |
| Street Address |
450 MEDICAL CENTER BLVD STE 600 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543553 | James Allen Blackburn | Physician Assistant | 450 Medical Center Blvd, Suite 201, Webster, TX 77598 | 2005-07-28 |
| 1619277183 | Neuro-hospitalist of Clear Lake, Pllc | Psychiatry & Neurology | 450 Medical Center Blvd, Suite 600, Webster, TX 77598-4234 | 2010-10-29 |
| 1770743304 | Pediatric Specialists of Clearlake Pllc | Pediatrics | 450 Medical Center Blvd, Stuie 600, Webster, TX 77598-4234 | 2008-06-17 |
| 1831372366 | R Patrick Rudy Md Pa | Internal Medicine | 450 Medical Center Blvd, # 300, Webster, TX 77598-4233 | 2007-12-06 |
| 1891811667 | Prapand Apisarnthanarax | Dermatology | 450 Medical Center Blvd, Suite 309, Webster, TX 77598-4234 | 2007-03-22 |
| 1518096379 | Mohamed Shalaby, Md, Pa | Internal Medicine | 450 Medical Center Blvd, 510, Webster, TX 77598-4234 | 2007-03-05 |
| 1578570867 | Junaid Ahmad Khan | Internal Medicine | 450 Medical Center Blvd, Suite 203, Webster, TX 77598-4234 | 2006-08-01 |
| 1700892148 | Stephen G. Kimmel | Surgery | 450 Medical Center Blvd, Suite 600c, Webster, TX 77598 | 2006-07-31 |
| 1417982356 | Freda J Bowman | Obstetrics & Gynecology | 450 Medical Center Blvd, 310, Webster, TX 77598-4234 | 2006-07-11 |
| 1114956869 | Clear Lake Cardiovascular Care Pa | Internal Medicine | 450 Medical Center Blvd, Suite 308, Webster, TX 77598-4234 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255897666 | Flower City Urgent Care Pllc | Pediatrics | 1243 Bay Rd, Webster, NY 14580-1919 | 2019-02-11 |
| 1568633204 | Andrew Sherman | Pediatrics | 2000 Empire Blvd Ste 150, Webster, NY 14580-1957 | 2008-03-21 |
| 1962689091 | Angelina Farella Md Pa | Pediatrics | 425 Henrietta, Webster, TX 77598 | 2008-01-31 |
| 1619183936 | Clear Lake Pediatric Clinic, P.a. | Pediatrics | 16 Professional Park Dr, Webster, TX 77598-4127 | 2007-05-15 |
| 1992854830 | Dhruv Patel | Pediatrics | Clear Lake Regional Medical Center, 500 Medical Center Blvd, Webster, TX 77598 | 2007-01-09 |
| 1053478016 | Jennifer A Bram | Pediatrics | 336 Thompson Rd Ste 3, Department of Pediatrics, Webster, MA 01570-1586 | 2007-01-02 |
| 1891804027 | Chan T Nguyen | Pediatrics | 16 Professional Park, Webster, TX 77598 | 2006-08-30 |
| 1295782944 | Richard M Manjerovic | Pediatrics | 25 Colonial Rd, Webster, MA 01570-3610 | 2006-05-28 |
| 1063460277 | Avolonne Morgan Kimble | Pediatrics | 333 N Texas Ave Ste 4300, Webster, TX 77598-4962 | 2006-05-04 |
| 1780653824 | Joanne Pauliny Cordaro | Pediatrics | 1110 Crosspointe Ln, Suite D, Webster, NY 14580-2968 | 2006-03-14 |
| Find all providers in WEBSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.