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General NPI Number Information
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NPI Number | 1437223633
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Entity Type | Organization
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Legal Business Name | GANDHI MEDICAL CENTER, P.C.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 2727 HIGHWAY AVE
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City | HIGHLAND
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State | IN
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Zip | 46322-1615
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Country | US
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Telephone | 219-838-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 HIGHWAY AVE
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City | HIGHLAND
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State | IN
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Zip | 46322-1615
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Country | US
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Telephone | 219-838-9333
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. LINUS B GANDHI
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Credential | M.D.
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Telephone | 219-838-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01061275A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01057594A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01036969A
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License Number State | IN
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