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NPI Verification

National Provider Identifier: 1851562375

Shanta Gautham, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY

GRAND FORKS, ND 58203

Phone: 701-780-6800

NPI Enumeration Date

March 13, 2008

NPI Number

1851562375

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry