IndividualActive
Hind Gautam, MD
NPI 1316950504 · Interventional Pain Medicine Physician · De Pere, WI
Provider details
- NPI number
- 1316950504
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 49944 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1881 Chicago St
De Pere, WI 54115-3770
Phone: (920) 403-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.