Provider Demographics
NPI:1275514663
Name:GANDHI, RAMESH K (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:K
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 N MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2560
Mailing Address - Country:US
Mailing Address - Phone:937-350-6700
Mailing Address - Fax:937-716-2375
Practice Address - Street 1:7211 N MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2560
Practice Address - Country:US
Practice Address - Phone:937-350-6700
Practice Address - Fax:937-716-2375
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-11
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35041327207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0458839Medicaid
B95378Medicare UPIN
OH0458839Medicaid