Provider Demographics
NPI:1376706846
Name:GANDHI, ROOPA DHAWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROOPA
Middle Name:DHAWAN
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROOPA
Other - Middle Name:
Other - Last Name:DHAWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2925 VERNON PL STE 100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2425
Mailing Address - Country:US
Mailing Address - Phone:513-751-6667
Mailing Address - Fax:513-872-4553
Practice Address - Street 1:11059 GRANDSTONE LN
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45249-3418
Practice Address - Country:US
Practice Address - Phone:513-751-6667
Practice Address - Fax:513-872-4553
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-05
Last Update Date:2017-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10031165207R00000X
OH35.097528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine