DR. AMITABH GAUTAM (NPI# 1750389565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750389565 |
Entity Type | Individual |
Full Name | DR. AMITABH GAUTAM |
Credential | MD |
Practice Address |
725 Albany St Shapiro 7th Floor, Suite 7a Boston MA 02118-2526 |
Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
Practice Telephone | 6176388430 |
Practice Fax Number | 6176388427 |
Enumeration Date | 2005-07-14 |
Last Update Date | 2014-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 233660 | MA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 233660 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9023429 | 05 | |
MA | 110003575A | 05 |
Street Address |
725 ALBANY ST SHAPIRO 7TH FLOOR, SUITE 7A |
City | BOSTON |
State | MA |
Zip Code | 02118-2526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186381 | Rachel Brigell Kearney | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-08-24 |
1588292767 | Karishma Pareek | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-04-01 |
1912535238 | Rebecca Zoe Steuer | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-31 |
1316574676 | Jasmine Vakhshoorzadeh | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-26 |
1700413176 | Ava Bakhtyari | Student in an Organized Health Care Education/Training Program | 725 Albany St, Precepting Room, Boston, MA 02118-3549 | 2020-03-25 |
1477180800 | Jacqueline Dinh | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-25 |
1114554821 | Nina Victoria Abon | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-24 |
1225665839 | Konstantinos Christos Hantzidiamantis | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-24 |
1790312668 | Leonie Hoyo | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-23 |
1275169161 | Allison David | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
Find all providers in zip 02118 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861422974 | James F Markmann | Transplant Surgery | 55 Fruit St # 517, Mgh Transplant Division, Boston, MA 02114-2621 | 2006-07-04 |
1679950109 | Shoko Kimura | Transplant Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2015-05-05 |
1497153332 | Mauricio Alejandro Villavicencio Theoduloz | Transplant Surgery | 55 Fruit St, Cox 642, Boston, MA 02114-2621 | 2014-12-09 |
1457592305 | Vanessa Lyn Cowan | Transplant Surgery | 110 Francis Street, Lmob 7, Boston, MA 02215 | 2009-03-23 |
1972771947 | Khashayar Vakili | Transplant Surgery | 300 Longwood Ave, Fegan 3, Boston, MA 02115-5724 | 2008-02-13 |
1013043728 | Parsia A Vagefi | Transplant Surgery | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2007-02-26 |
1285656314 | Tatsuo Kawai | Transplant Surgery | 55 Fruit Street, Wht 510b, Boston, MA 02114-2696 | 2006-07-25 |
1144249632 | Heung B Kim | Transplant Surgery | 300 Longwood Ave, Fegan 3, Boston, MA 02115-5724 | 2006-07-18 |
1285653766 | Craig W Lillehei | Transplant Surgery | 300 Longwood Ave, Fegan 3, Boston, MA 02115-5724 | 2006-07-18 |
1154348688 | Brigham and Womens Physicians Organization Inc | Transplant Surgery | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
Find all providers in BOSTON |
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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.