DR. CHARLES M GOTTLICH MD NPI 1487618682

NPI Information

NPI: 1487618682
Provider Name: DR. CHARLES M GOTTLICH, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
621 N HALL ST
SUITE 500
DALLAS, TX
ZIP 75226
Phone: (214) 841-2000
Get Directions

DR. Charles M Gottlich, MD is a cardiovascular disease internal medicine in Dallas, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Charles M Gottlich, MD NPI is 1487618682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

621 N HALL ST
SUITE 500
DALLAS, TX
ZIP 75226-339
Phone: (214) 841-2000
Fax: (214) 841-2015

The enumeration date for this NPI number is 4/14/2006 and was last updated on 7/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	D7059	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	85G100	MEDICARE PIN	TEXAS
2	129167603	MEDICAID	TEXAS
3	B23089	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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