Gandhi, Jitendra G

Gandhi, Jitendra G is an individual health care provider with primary practice located at 705 Cook Dr Ste 203 , Athens TN 37303-3494. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Gandhi, Jitendra G can be contacted via phone (423) 745-1411.

Contact Information

Primary practice address
705 Cook Dr Ste 203 Athens TN 37303-3494
Phone: (423) 745-1411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14781 Tennessee
Other Service Providers / Specialist 174400000X MD14781 Tennessee
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 14781 Tennessee

Profile Details

NPI number 1184689614
LBN Legal business name Gandhi, Jitendra G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 20th, 2022 - about 2 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 1184689614 NPPES
Tennessee MEDICAID 3000285
Tennessee MEDICAID Q003567

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