Provider Demographics
NPI:1437152998
Name:GANDHI, SWATI R (MD)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:R
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1640 NEWPORT BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-7730
Mailing Address - Country:US
Mailing Address - Phone:949-515-7337
Mailing Address - Fax:949-515-7338
Practice Address - Street 1:1640 NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3786
Practice Address - Country:US
Practice Address - Phone:949-515-7337
Practice Address - Fax:949-515-7338
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2014-01-07
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Provider Licenses
StateLicense IDTaxonomies
CAC53857208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics