Provider Demographics
NPI:1184824294
Name:GANDHI, ALOK D (DO)
Entity Type:Individual
Prefix:
First Name:ALOK
Middle Name:D
Last Name:GANDHI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1415 PORTLAND AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3038
Mailing Address - Country:US
Mailing Address - Phone:585-922-2900
Mailing Address - Fax:585-922-2117
Practice Address - Street 1:1415PORTLAND AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3001
Practice Address - Country:US
Practice Address - Phone:585-922-2900
Practice Address - Fax:585-922-2117
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2021-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY246690208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400002141OtherMEDICARE
NY02948850Medicaid
NY02948850Medicaid