Healthcare Provider Details

I. General information

NPI: 1770162976
Provider Name (Legal Business Name): ASIA GANDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

170 MANNING DR
CHAPEL HILL NC
27514-4221
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA191481
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number2026-02008
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: