MEDICARE: DR. MONICA 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
1	207R00000X	Internal Medicine Physician	A65564	CA
2	207RI0200X	Infectious Disease Physician	A65564	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396700019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA GANDHI MD

Provider Business Mailing Address
First Line	:	405 IRVING ST FL 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-2511
Country	:	US
Telephone Number	:	415-502-6285
Fax Number	:	415-476-8528

Provider Business Practice Location Address
First Line	:	995 POTRERO AVE FL 6
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2859
Country	:	US
Telephone Number	:	415-502-6285
Fax Number	:	415-476-8528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	01/13/2012

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