Provider Demographics
NPI:1326493537
Name:GANDHI, HARDIK (NP-C)
Entity Type:Individual
Prefix:
First Name:HARDIK
Middle Name:
Last Name:GANDHI
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 E MICHIGAN AVE
Mailing Address - Street 2:SUITE 137
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1800
Mailing Address - Country:US
Mailing Address - Phone:517-364-5550
Mailing Address - Fax:517-364-5549
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:SUITE 137
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-364-5550
Practice Address - Fax:517-364-5549
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704300096363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner