Provider Demographics
NPI:1164593141
Name:GANDHI, YOGESH N (MD)
Entity Type:Individual
Prefix:
First Name:YOGESH
Middle Name:N
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2817 REILLY ROAD
Mailing Address - Street 2:MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:M4861 LOGISTICS AVE
Practice Address - Street 2:JOEL HEALTH CLINIC
Practice Address - City:FT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310
Practice Address - Country:US
Practice Address - Phone:910-907-5635
Practice Address - Fax:910-907-9828
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME41849208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN