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
Fax: (973) 762-3731
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568408573 NPPES
New Jersey MEDICAID 3797201

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