GAUTAM K SHAH

HAMMOND, IN
NPI1942296157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01029220A)
Enumeration Date2005-09-22
Last Update Date2012-10-02
Business Address
-- GAUTAM K SHAH MD
5454 HOHMAN AVE
HAMMOND, IN 46320-1931
Phone number: 219-933-2270
Mailing Address
-- GAUTAM K SHAH MD
PO BOX 1000
DYER, IN 46311-0800
Phone number: 219-864-2268