PRABESH GAUTAM

CLEVELAND, OH
NPI1366115685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  57.251164)
Enumeration Date2021-08-01
Last Update Date2021-08-01
Business Address
PRABESH GAUTAM MD
11100 EUCLID AVE
CLEVELAND, OH 44106-1716
Phone number: 917-365-9820
Mailing Address
PRABESH GAUTAM MD
1990 FORD DR APT 615
CLEVELAND, OH 44106-3954
Phone number: 917-365-9820
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