Gandhi, Bhavesh R

Gandhi, Bhavesh R is an individual health care provider with primary practice located at 1051 Essington Rd Ste 290 , Joliet IL 60435-2842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gandhi, Bhavesh R can be contacted via phone (815) 773-7827.

Contact Information

Primary practice address
1051 Essington Rd Ste 290 Joliet IL 60435-2842
Phone: (815) 773-7827
Fax: (152) 548-4428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-120708 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 49061 Wisconsin

Profile Details

NPI number 1417994013
LBN Legal business name Gandhi, Bhavesh R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 15th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417994013 NPPES
Illinois MEDICAID 036120708

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