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NPI Code Detail

MEDICARE: MONA MAHESH GANDHI APRN

MEDICARE:   MONA MAHESH GANDHI  APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerTBDCT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner9795CT

General Provider Information

NPI Number : 1669040168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA MAHESH GANDHI APRN
Provider Business Mailing Address
First Line : 100 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5010
Country : US
Telephone Number : 203-299-1315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2021
Last Update Date : 07/21/2021

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Directions to “ MONA MAHESH GANDHI APRN” Practice Location

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