Ritika Gautam, MD
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC. Individual provider (NPI-1).
Details
- NPI
- 1962394056
- Entity type
- Individual (NPI-1)
- Name
- Ritika Gautam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
809 82nd PkwyMyrtle Beach, SC 29572-4607
Phone 843-692-1118
Mailing address
809 82nd PkwyMyrtle Beach, SC 29572-4607
Phone 843-692-1118
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 233 Student in an Organized Health Care Education/Training Program providers in Myrtle Beach · All 3,545 providers in Myrtle Beach
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