Physician Compare National (NPI:1366538787)

HEALTHCARE PROVIDER: SANDEEP A GANDHI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366538787
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517044340
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080404000008
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GANDHI
	Individual professional last name
Provider First Name	SANDEEP
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	271 ROUTE 25A
	Group Practice or individual's line 1 address
City	WADING RIVER
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117922014
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6316817012
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PECONIC BAY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y