Provider Demographics
NPI:1033385877
Name:GANDHI, NEEL JITENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:JITENDRA
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2997 PRINCETON PIKE, #201
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648
Mailing Address - Country:US
Mailing Address - Phone:609-771-0700
Mailing Address - Fax:609-771-8466
Practice Address - Street 1:2997 PRINCETON PIKE, #201
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648
Practice Address - Country:US
Practice Address - Phone:609-771-0700
Practice Address - Fax:609-771-8466
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA229573207R00000X
NJ25MA09127500207RH0003X
PAMD438346207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine