Gautam Dasgupta (NPI# 1518951524, PAC ID# 2062425432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1518951524 |
| PAC ID by PECOS | 2062425432 |
| Professional Enrollment ID | I20101005000072 |
| Full Name | Gautam Dasgupta |
| Organization Legal Name | ATHENS NEPHROLOGY ASSOCIATES |
| Address |
2047 Prince Ave B Athens GA 30606-6033 |
| Phone Number | 7065460083 |
| Gender | M |
| Graduation Year | 1962 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 7911998042 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110074 | ATHENS REGIONAL MEDICAL CENTER |
| 110027 | ST MARY'S SACRED HEART HOSPITAL, INC |
| 110006 | ST MARY'S HOSPITAL |
| 110026 | ELBERT MEMORIAL HOSPITAL |
| 110040 | NORTHRIDGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2047 Prince Ave B, Athens, GA 30606-6033 | 7065460083 | ATHENS NEPHROLOGY ASSOCIATES |
| Organization Legal Name | ATHENS NEPHROLOGY ASSOCIATES |
| Physicians | 1 |
| Street Address |
2047 PRINCE AVE B |
| City | ATHENS |
| State | GA |
| Zip | 30606-6033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | NEPHROLOGY |
| City + Specialty | ATHENS + NEPHROLOGY |
Please comment or provide details below to improve the information on Gautam Dasgupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.