Dr SAMIR CHANDRA GAUTAM is a male medical professional, specializing in Nephrology. He graduated in 2005.
MISSISSIPPI NEPHROLOGISTS LLC
150 JEFFERSON DAVIS BLVD
SUITE 100
NATCHEZ
MS
391205120
Tel: 6012733553
| Npi | 1275766396 |
| Pac Id | 3971730607 |
| Professional Enrollment Id | I20150804003184 |
| Last Name | GAUTAM |
| First Name | SAMIR |
| Middle Name | CHANDRA |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialty 1 | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialty 2 | INTERNAL MEDICINE |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE |
| Organization Legal Name | MISSISSIPPI NEPHROLOGISTS LLC |
| Group Practice Pac Id | 1759695844 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 150 JEFFERSON DAVIS BLVD |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | NATCHEZ |
| State | MS |
| Zip Code | 391205120 |
| Phone Number | 6012733553 |
| Hospital Affiliation Ccn 1 | 250084 |
| Hospital Affiliation Lbn 1 | MERIT HEALTH NATCHEZ |
| Hospital Affiliation Ccn 2 | 250057 |
| Hospital Affiliation Lbn 2 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| Hospital Affiliation Ccn 3 | 191318 |
| Hospital Affiliation Lbn 3 | RIVERLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 250072 |
| Hospital Affiliation Lbn 4 | MERIT HEALTH CENTRAL |
| Hospital Affiliation Ccn 5 | 190064 |
| Hospital Affiliation Lbn 5 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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