Gandhi, Sanjay M

Gandhi, Sanjay M is an individual health care provider with primary practice located at 959 Wyoming Ave , Scranton PA 18509-3023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gandhi, Sanjay M can be contacted via phone (570) 344-3517.

Contact Information

Primary practice address
959 Wyoming Ave Scranton PA 18509-3023
Fax: (570) 344-6839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD064359L Pennsylvania

Profile Details

NPI number 1558347039
LBN Legal business name Gandhi, Sanjay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 22nd, 2011 - about 13 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 1558347039 NPPES
Pennsylvania MEDICAID 1014179740001

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