Gandhi, Champaklal K
Gandhi, Champaklal K is an individual health care provider with primary practice located at 707 S Orange Ave , South Orange NJ 07079-2698. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gandhi, Champaklal K can be contacted via phone (973) 762-4720.Contact Information
Primary practice address
707 S Orange Ave
South Orange NJ 07079-2698
Phone: (973) 762-4720
Fax: (973) 762-3731
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA28189 | New Jersey |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MA28189 | New Jersey |
Profile Details
NPI number | 1568408573 |
---|---|
LBN Legal business name | Gandhi, Champaklal K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568408573 | NPPES |
New Jersey | MEDICAID | 3797201 |
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