Healthcare Provider Details

I. General information

NPI: 1346823986
Provider Name (Legal Business Name): SONAL GANDHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVE STE 3A-08
NEW YORK NY
10019-1147
US

IV. Provider business mailing address

757 WESTWOOD PLAZA HOSPICE AND PALLIATIVE MEDICINE
LOS ANGELES CA
90095-7419
US

V. Phone/Fax

Practice location:
  • Phone: 212-259-6777
  • Fax:
Mailing address:
  • Phone: 310-825-2631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: