Prachi Gautam Valid NPI
Individual provider · Pediatric Nephrology Physician · Bronx, NY
- NPI
- 1740687755
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nephrology Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2080P0210X
- License number
- 291597 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-11-20
- Last updated
- 2021-06-15
Practice location
2015 Grand Concourse
Bronx, NY 10453
(718) 299-7295