Healthcare Provider Details

I. General information

NPI: 1134597735
Provider Name (Legal Business Name): RHEUMATOLOGY CARE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2015
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 LACRUE AVE STE 101
GLEN MILLS PA
19342-1042
US

IV. Provider business mailing address

30 LACRUE AVE STE 101
GLEN MILLS PA
19342-1042
US

V. Phone/Fax

Practice location:
  • Phone: 610-558-4800
  • Fax: 610-558-4844
Mailing address:
  • Phone: 610-558-4800
  • Fax: 610-558-4844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMD426974
License Number StatePA

VIII. Authorized Official

Name: DR. NEHAL S GANDHI
Title or Position: RHUEMATOLOGIST
Credential: M.D.
Phone: 484-875-0835