Provider Demographics
NPI:1003895475
Name:GANDHI, HIREN (MD)
Entity Type:Individual
Prefix:DR
First Name:HIREN
Middle Name:
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 FAIRFAX DR
Mailing Address - Street 2:STE#44
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1762
Mailing Address - Country:US
Mailing Address - Phone:703-522-4780
Mailing Address - Fax:703-527-8695
Practice Address - Street 1:3801 FAIRFAX DR
Practice Address - Street 2:STE#44
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:703-522-4780
Practice Address - Fax:703-527-8695
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232755208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2319508OtherUNITED HEALTH CARE
VA7054361OtherAETNA PPO
VA3231297OtherAETNA HMO
VA010451OtherHEALTHKEEPERS
VA39739OtherUNICARE MC/FAMIS
VA8117669OtherMDIPA/OPT CHOICE
VA519285OtherNCPPO/HEALTHLINK
VA3842619OtherCIGNA
VAC017-0002OtherCARE FIRST BCBS(DC)
VA2117669OtherMAMSI/ALLIANCE
VA010451OtherANTHEM BCBS(VA)
VA7054361OtherAETNA POS
VA7054361OtherAETNA PPO