Healthcare Provider Details

I. General information

NPI: 1871628628
Provider Name (Legal Business Name): JAMES GANDY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 11/27/2023
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 MICHIGAN AVE W
BATTLE CREEK MI
49017-3602
US

IV. Provider business mailing address

140 MICHIGAN AVE W
BATTLE CREEK MI
49017-3602
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-1460
  • Fax: 269-966-2844
Mailing address:
  • Phone: 269-966-1460
  • Fax: 269-966-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number5101011574
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: