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NPI Code Detail

MEDICARE: DR. SNEHA J GANDHI MD

MEDICARE: DR. SNEHA J 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
1208000000XPediatrics Physician25MA05990600NJ
2208000000XPediatrics Physician192828NY

General Provider Information

NPI Number : 1700813995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SNEHA J GANDHI MD
Provider Business Mailing Address
First Line : 3071 PERRY AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-4111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3071 PERRY AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-4111
Country : US
Telephone Number : 718-231-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 03/06/2013

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