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NPI 1730574542

NPI 1730574542 : ANJALIKA GANDHI MD : SYLVANIA, OH

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General NPI Number Information
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    NPI Number           |    1730574542
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    Entity Type          |    Individual 
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    Provider Name        |    ANJALIKA GANDHI MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2015
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    Last Update Date     |    10/21/2024
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Provider Practice Location Address
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    Address Line         |    5308 HARROUN RD # 285 
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    City                 |    SYLVANIA
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    State                |    OH
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    Zip                  |    43560-2193
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    Country              |    US
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    Telephone            |    419-824-5633
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    Fax                  |    419-824-5953
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Provider Business Mailing Address
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    Address Line         |    100 MADISON AVE 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43604-1516
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    34680
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    35.145773
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    License Number State |    OH
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