PRANISHA GAUTAM

NORTH SHORE-LIJ MEDICAL PC

Dr PRANISHA GAUTAM is a female medical professional, specializing in Infectious Disease. She graduated in 2004.

Contact

NORTH SHORE-LIJ MEDICAL PC

300 COMMUNITY DR
MANHASSET
NY
110303816

Tel:

PRANISHA GAUTAM Information

Npi 1841596103
Pac Id 4385879345
Professional Enrollment Id I20131028001949
Last Name GAUTAM
First Name PRANISHA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2004
Primary Specialty INFECTIOUS DISEASE
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name NORTH SHORE-LIJ MEDICAL PC
Group Practice Pac Id 3375701568
Number Of Group Practice Members 3220
Line 1 Street Address 300 COMMUNITY DR
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City MANHASSET
State NY
Zip Code 110303816
Phone Number
Hospital Affiliation Ccn 1 330106
Hospital Affiliation Lbn 1 NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
Hospital Affiliation Ccn 2 330195
Hospital Affiliation Lbn 2 NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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