Gandra, Vidyadhar R.
Gandra, Vidyadhar R. is an individual health care provider with primary practice located at 12750 St Francis Dr Ste 320 , Crown Point IN 46037-0264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gandra, Vidyadhar R. can be contacted via phone (219) 662-0077.Contact Information
Primary practice address
12750 St Francis Dr Ste 320
Crown Point IN 46037-0264
Phone: (219) 662-0077
Fax: (219) 662-9496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01029999 | Indiana |
Profile Details
| NPI number | 1770580789 |
|---|---|
| LBN Legal business name | Gandra, Vidyadhar R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jan 12th, 2024 - about 11 months 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 | 1770580789 | NPPES |
| Indiana | MEDICAID | 100259640A |
Popular Providers
-
Samyn, Joseph G.
12750 St Francis Dr Ste 320 , Crown Point IN 46307-0264 -
Brigham, Gary R.
1009 Foy Ct , Crown Point IN 46307-9821 -
Rychter, Kelly Renee
1205 S Main St Ste 101 , Crown Point IN 46307-3677 -
Orfanos, Trent G.
300 N Main St Ste D , Crown Point IN 46307-3281 -
Hameed, Tariq
12750 St Francis Dr Ste 320 , Crown Point IN 46307-0264 -
Debenedetti, Laura L
2940 N Mccord Rd , Toledo OH 43615-1753 -
Khokher, Tahir M
12750 St Francis Dr Ste 320 , Crown Point IN 46307-0264 -
Christy, Sheryl
12750 St Francis Dr Ste 320 , Crown Point IN 46307-0264