GAUTAM PHOOKAN MD
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1093750978- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2525 W UNIVERSITY AVE STE 503, MUNCIE, IN, 473033409
- Phone
- (765) 288-0441
- Fax
- (765) 282-7879
Specialties & Taxonomies
Neurological Surgery
License: IN #1050143
Neurological Surgery
Primary License: IN #01050143A
All Addresses
MAILING
250 N SHADELAND AVE
INDIANAPOLIS, IN, 462194959