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1992053250
KAMAL PRASAD GAUTAM
SYRACUSE, NY
NPI
1992053250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 280518)
Enumeration Date
2012-08-16
Last Update Date
2023-08-02
Business Address
KAMAL PRASAD GAUTAM MD
739 IRVING AVE STE 200
SYRACUSE, NY 13210-1668
Phone number: 315-479-5070
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Mailing Address
KAMAL PRASAD GAUTAM MD
1001 W FAYETTE ST STE 400
SYRACUSE, NY 13204-2866
Phone number: 315-937-3433
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