Healthcare Provider Details

I. General information

NPI: 1487744777
Provider Name (Legal Business Name): GANDHI GONDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2006
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 FOREST DR
COLUMBIA SC
29204-2026
US

IV. Provider business mailing address

PO BOX 601964
CHARLOTTE NC
28260-1964
US

V. Phone/Fax

Practice location:
  • Phone: 803-865-4780
  • Fax: 803-865-4932
Mailing address:
  • Phone: 855-477-2477
  • Fax: 216-472-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number8218
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number8218
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number8218
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: