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NPI Code Detail

MEDICARE: JASON GANDHI MD

MEDICARE: JASON GANDHI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1376130369
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON GANDHI MD
Provider Business Mailing Address
First Line : 1 E CLARK BASS BLVD
Second Line :
City : MCALESTER
State : OK
Zip : 74501-4209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 E CLARK BASS BLVD
Second Line :
City : MCALESTER
State : OK
Zip : 74501-4209
Country : US
Telephone Number : 918-421-6795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2020
Last Update Date : 05/02/2026

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Directions to “ JASON GANDHI MD” Practice Location

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