Gautam Siram, MD, PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

D0074565 Issued in MD

Legal business name

GAUTAM SIRAM, MD, PC

Practice address

5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322

Phone

(301) 657-9876

NPI assigned

Aug 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gautam Siram, MD

Title

Director

Phone

(301) 785-4559

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1902153190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTAM SIRAM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "SIRAM",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-785-4559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D0074565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Reconstructive Orthopaedic Surgery Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.