Healthcare Provider Details

I. General information

NPI: 1255692752
Provider Name (Legal Business Name): SHEIPHALI A GANDHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2012
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE BLDG 5
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

2230 POST STREET SUITE 460
SAN FRANCISCO CA
94117
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8494
  • Fax: 628-206-7501
Mailing address:
  • Phone: 415-885-7580
  • Fax: 415-514-5614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberA162380
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA162380
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA162380
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA162380
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: