GAUTAMI GANDHAM


Address: 1145 S Utica Ave, Tulsa, OK 74104-4000
Phone: 9185792367

GAUTAMI GANDHAM (NPI# 1639631690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639631690
Entity Type Individual
Full Name GAUTAMI GANDHAM
Practice Address 1145 S Utica Ave
Tulsa
OK 74104-4000
Mailing Address 1145 S Utica Ave Ste 600
Tulsa
OK 74104-4070
Practice Telephone 9185792367
Mailing Telephone 9185792367
Enumeration Date 2019-04-01
Last Update Date 2019-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1145 S UTICA AVE
City TULSA
State OK
Zip Code 74104-4000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336133024 Michael Opong-kusi Family Medicine 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 2005-09-08
1265948269 Linda Ellard Nurse Practitioner 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041 2017-12-28
1972038602 Laquichesha Trotter Nurse Practitioner 1145 S Utica Ave, Suite 364, Tulsa, OK 74104-4000 2017-05-01
1265966980 Jubin Sadeghian Student in an Organized Health Care Education/Training Program 1145 S Utica Ave, Tulsa, OK 74104-4000 2017-04-19
1881128775 Jacqueline R Froese Nurse Practitioner 1145 S Utica Ave, Ste 110, Tulsa, OK 74104-4000 2017-04-18
1861931891 Brittany Goodin Nurse Practitioner 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 2017-02-23
1447796545 Haresh K Ajmera Md Inc Specialist 1145 S Utica Ave, Suite 500, Tulsa, OK 74104-4014 2017-01-12
1396281937 Chih-ying Lee Physician Assistant 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 2017-01-06
1023562204 Katie Rodgers Nurse Practitioner 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 2016-08-05
1477905669 Total Care Orthotics and Prosthetics Prosthetic/Orthotic Supplier 1145 S Utica Ave, Suite G 12, Tulsa, OK 74104-4000 2016-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982253811 Ultimate Health and Pain Management Pain Medicine 1844 East 15th Street, Tulsa, OK 74104 2019-09-04
1225691223 David Murray Student in an Organized Health Care Education/Training Program 2100 S Wheeling Ave, Tulsa, OK 74104 2019-04-16
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1033636915 Mark Brizendine Dietitian, Registered Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 2017-08-23
1295259067 Demi Reyd Cook Nurse Practitioner 1717 A South Utica, Tulsa, OK 74104 2017-08-02
1851827059 Oklahoma Cvs Pharmacy Durable Medical Equipment & Medical Supplies 1701 E 15th Street, Tulsa, OK 74104 2017-05-08
1801334982 Jamie Lynne Miller Internal Medicine 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 2017-02-08
1578913430 Donna Durant-macon Registered Nurse 315 South Utica, Tulsa, OK 74104 2016-06-21
1669833851 Mbc Dental Dentist 401 S. Utica Ave, #a, Tulsa, OK 74104 2016-03-15
1518332170 Neuro Dynamics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 22 S Lewis, Tulsa, OK 74104 2015-12-08
Find all providers in zip 74104

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255931739 Parker Grant Allan Student in an Organized Health Care Education/Training Program 5126 E 104th Pl, Tulsa, OK 74137-6082 2020-10-26
1003423369 Armin Kalantari Student in an Organized Health Care Education/Training Program 7310 E 92nd St, Tulsa, OK 74133-6039 2020-09-29
1437766268 Abigail Roberts Student in an Organized Health Care Education/Training Program 2657 S Oswego Pl, Tulsa, OK 74114-4719 2020-09-25
1275149577 Jesse Taylor Strong Student in an Organized Health Care Education/Training Program 50 S Florence Ave, Tulsa, OK 74104-1714 2020-09-22
1376159632 Nisha Rajagopal Student in an Organized Health Care Education/Training Program 6152 S Richmond Ave, Tulsa, OK 74136-1613 2020-09-21
1386250728 Magera Shaw Student in an Organized Health Care Education/Training Program 1436 S Darlington Ave, Tulsa, OK 74112-6314 2020-09-21
1811503261 Bridgette Molenda Student in an Organized Health Care Education/Training Program 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 2020-09-21
1922613777 Anna Claire Shadid Student in an Organized Health Care Education/Training Program 2122 E 47th Pl, Tulsa, OK 74105-4922 2020-09-09
1316552169 Laura Warning Student in an Organized Health Care Education/Training Program 412 S Olympia Ave, Tulsa, OK 74127-8825 2020-09-09
1487269239 James Maxwell Cox Student in an Organized Health Care Education/Training Program 4507 S Madison Pl, Tulsa, OK 74105-4564 2020-09-09
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74104

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Dataset Information

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.

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