NPI 1649423708 · live from the CMS NPI Registry
Gautamy Chitiki Dhadham, MD;MBBS
Internal Medicine, Gastroenterology in Gilbert, AZ. National Provider Identifier 1649423708, active.
NPI record
| NPI | 1649423708 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 |
| Practice phone | 480-256-6444 |
| Enumerated | November 2, 2008 |
| Last updated | January 17, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 67606 (AZ) |
| Internal Medicine, Gastroenterology | 207RG0100X | C1-0011161 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.