DR. AMITABH GAUTAM


Address: 725 Albany St, Shapiro 7th Floor, Suite 7a, Boston, MA 02118-2526
Phone: 6176388430

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
RI 9023429 05
MA 110003575A 05

Office Location

Street Address 725 ALBANY ST
SHAPIRO 7TH FLOOR, SUITE 7A
City BOSTON
State MA
Zip Code 02118-2526

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

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

Competitor

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City BOSTON
Zip Code 02118

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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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