SearchNevada1223X0400X

Pawan Gautam, MDS

NPI 1053742742 · on the registry since 2013 · sole proprietor

Practice

Address
210 E Flamingo Rd
Unit 217
Las Vegas, NV 89169
Phone
(760) 447-2655

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
Licence states on file
NV, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada