Dr INDIRA GAUTAM MD is a female medical professional, specializing in Family Medicine. She graduated in 1999 from Marshall University School Medicine.
327 IBERIA ST
SUITE 3A
YOUNGSVILLE
LA
705926370
Tel:
| Npi | 1043283005 |
| Pac Id | 5597655365 |
| Professional Enrollment Id | I20110210000148 |
| Last Name | GAUTAM |
| First Name | INDIRA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 327 IBERIA ST |
| Line 2 Street Address | SUITE 3A |
| Marker Of Address Line 2 Suppression | |
| City | YOUNGSVILLE |
| State | LA |
| Zip Code | 705926370 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190002 |
| Hospital Affiliation Lbn 1 | LAFAYETTE GENERAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 190102 |
| Hospital Affiliation Lbn 2 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 3 | 190064 |
| Hospital Affiliation Lbn 3 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 190054 |
| Hospital Affiliation Lbn 4 | IBERIA MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 190034 |
| Hospital Affiliation Lbn 5 | ABBEVILLE GENERAL HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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