Teofilo S. Bautista, M.D., P.C.
Family Medicine · Gary, IN
UnclaimedM.D., P.C.NPI 1801894076
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2005-07-12
- Practice location
- Gary, IN
- Last NPPES update
- 2013-01-29
State licenses
- IN · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.