| Dr Robin S Gautam, MD | |
|
667 Eastland Ave Se, Warren, OH 44484-4503 | |
| (330) 841-4507 | |
| (330) 841-4193 |
| Full Name | Dr Robin S Gautam |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 32 Years |
| Location | 667 Eastland Ave Se, Warren, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104801836 | NPI | - | NPPES |
| 2137593 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35070187S (Ohio) | Secondary |
| 207ZC0500X | Pathology - Cytopathology | 35070187S (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Consultants Llc | 6507901790 | 9 |
| Entity Name | Pathology Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548598626 PECOS PAC ID: 6507901790 Enrollment ID: O20100226000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robin S Gautam, MD 8166 Market St, Suite D, Youngstown, OH 44512-6262 Ph: (330) 953-3242 | Dr Robin S Gautam, MD 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4507 |
Linda Olmstead, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9346 | |
Dr. Nadeem N Malik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1622 E Market St, Warren, OH 44483 Phone: 330-399-7215 Fax: 330-399-2411 | |
Dr. Robert George Gurdak, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9346 |