GAUTAM ELANGO EDHAYAN MD MSE NPI 1629636659

NPI Information

  • NPI: 1629636659
  • Provider Name: GAUTAM ELANGO EDHAYAN, MD, MSE
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 UNIVERSITY BLVD
    GALVESTON, TX
    ZIP 77555
  • Phone: (409) 747-2849

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NPI Details

Gautam Elango Edhayan, MD, MSE is a diagnostic radiology radiology in Galveston, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gautam Elango Edhayan, MD, MSE NPI is 1629636659. 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:

301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555-712
Phone: (409) 747-2849
Fax: (409) 772-7120

The NPI 1629636659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 7/7/2020.

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
12085R0202XRadiologyDiagnostic RadiologyBP10070247TEXASYes

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: 3/30/2025

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