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Prachi Gautam — NPI 1740687755, Bronx, NY | NPI Central

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Prachi Gautam

NPI 1740687755 · Pediatric Nephrology Physician · Bronx, NY

Provider details

NPI number: 1740687755
Entity type: Individual
Primary specialty: Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Pediatric Nephrology PhysicianPrimary2080P0210XLicense 291597 (NY)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

2015 Grand Concourse

Bronx, NY 10453

Phone: (718) 299-7295

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

1434 Williamsbridge Rd

Bronx, NY 10461-2507

Additional practice locations (1)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone: (718) 270-2078
Fax: (718) 683-8677

Registry dates

Enumerated: 2014-11-20
Last updated: 2021-06-15
Certified: 2021-06-15

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