DR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIAN MD - NPI 1053998278 - Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Gautam Shanmuga Dhar Balasubramania Pandian Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIAN MD (NPI 1053998278) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1053998278

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIANCredential: MD

Location Address506 LENOX AVENew York, NY 10037-1802

Mailing Address506 Lenox AveNew York, NY 10037-1802 · (212) 939-2291

Phone(212) 939-2291

Sole ProprietorYes

Enumeration DateMarch 25, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1053998278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

506 LENOX AVE, New York, NY 10037

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP