Search › North Dakota › 207R00000X
Shanta Gautham, MD
NPI 1851562375 · on the registry since 2008
Practice
- Address
- 725 Hamline St - Altru Family Medicine Residency
Grand Forks, ND 58203 - Phone
- (701) 780-6800
- Fax
- (781) 744-5358
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-05
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 North Dakota