Gandhi, Khushboo M

Gandhi, Khushboo M is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Gandhi, Khushboo M can be contacted via phone (920) 288-8000.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015013975 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 72491 Wisconsin

Profile Details

NPI number 1568845519
LBN Legal business name Gandhi, Khushboo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Nov 19th, 2021 - about 3 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 1568845519 NPPES
Wisconsin MEDICAID 10009989

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