Provider Demographics
NPI:1376703876
Name:GANDHI, REKHA (MD)
Entity Type:Individual
Prefix:
First Name:REKHA
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 LEE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1848
Mailing Address - Country:US
Mailing Address - Phone:407-848-3839
Mailing Address - Fax:866-950-0261
Practice Address - Street 1:2233 LEE RD STE 102
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1848
Practice Address - Country:US
Practice Address - Phone:407-848-3839
Practice Address - Fax:866-950-0261
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2647582084N0400X
FLME1213722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology