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Search › Indiana › 207T00000X

Gautam Phookan, MD

NPI 1093750978 · on the registry since 2006

Practice

Address
2525 W University Ave Ste 503
Muncie, IN 47303
Phone
(765) 288-0441
Fax
(765) 282-7879
Organisation at this address
Pa Labs Inc
Pavilion Pediatrics, Llc
Associates In Women'S Health Pc
Muncie Surgical Associates, Inc
University Dermatology Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
163

Registry record

Primary taxonomy
207T00000X
207T00000X
Also registered as
207T00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-16

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 Indiana