NPI 1093750978

Gautam Phookan, MD

Practitioner Neurological Surgery Physician Muncie, IN

Practice location

Address: 2525 W University Ave STE 503, Muncie, IN 47303-3409
Phone: (765) 288-0441
Fax: (765) 282-7879
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 01050143A (IN)

Other Neurological Surgery providers in Indiana →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 1050143 (IN)

Registry record

NPI: 1093750978
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2006
Record last updated: 16 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.