Gandy, Paul E

Gandy, Paul E is an individual health care provider with primary practice located at 830 N Theatre Drive , Marion IN 46952-1700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Gandy, Paul E can be contacted via phone (765) 662-4142.

Contact Information

Primary practice address
830 N Theatre Drive Marion IN 46952-1700
Phone: (765) 662-4142
Fax: (419) 866-5453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 01059985A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01059985A Indiana

Profile Details

NPI number 1568417442
LBN Legal business name Gandy, Paul E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 6th, 2012 - about 12 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 1568417442 NPPES
Indiana MEDICAID 200509010
Indiana Other 000000519329
Indiana Other P00414325

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