MEDICARE: DR. SAUMIL M GANDHI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A54272	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427057843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAUMIL M GANDHI M.D.

Provider Business Mailing Address
First Line	:	4030 TRADEWINDS DR
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93035-1253
Country	:	US
Telephone Number	:	805-525-4650
Fax Number	:	805-648-6572

Provider Business Practice Location Address
First Line	:	253 MARCH ST
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-2511
Country	:	US
Telephone Number	:	805-525-4650
Fax Number	:	805-648-6572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/03/2024

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