| Mr Subarna Gautam, MD | |
|
1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | |
| (336) 564-4866 | |
| (336) 277-6815 |
| Full Name | Mr Subarna Gautam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 1750 Kernersville Medical Pkwy, Kernersville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942863436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD477958 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 2025-01329 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Pittsburgh Physicians | 8729990239 | 4195 |
| Novant Health Medical Group, Llc | 1153234893 | 2401 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Subarna Gautam, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 564-4866 | Mr Subarna Gautam, MD 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 Ph: (336) 564-4866 |
Dr. Andrew On-shing Chow, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 420 W Mountain St, Kernersville, NC 27284 Phone: 336-993-1618 Fax: 336-993-5512 | |
Jeevan Gautam, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1750 Kernersville Medical Pkwy, Kernersville, NC 27284 Phone: 336-564-4866 Fax: 336-277-6815 |