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Anudeeta Gautam, MD — NPI 1699562017, Grand Rapids, MI | NPI Central

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Anudeeta Gautam, MD

NPI 1699562017 · Radiation Oncology Physician · Grand Rapids, MI

Provider details

NPI number: 1699562017
Entity type: Individual
Primary specialty: Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: 4351055081 (MI)

Specialties & taxonomies

Radiation Oncology PhysicianPrimary2085R0001XLicense 4351055081 (MI)
Allopathic & Osteopathic Physicians

Practice location

100 Michigan St Ne Ste A601

Grand Rapids, MI 49503-2560

Phone: (616) 391-3777

Fax: (616) 391-3755

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

100 Michigan St Ne Ste A601

Grand Rapids, MI 49503-2560

Registry dates

Enumerated: 2025-04-21
Last updated: 2025-06-19
Certified: 2025-06-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.