Provider Demographics
NPI:1508569047
Name:GANDHI, MONA ALOK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONA
Middle Name:ALOK
Last Name:GANDHI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MONA
Other - Middle Name:MAHESH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 AMBER HILL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-9446
Mailing Address - Country:US
Mailing Address - Phone:973-460-2374
Mailing Address - Fax:
Practice Address - Street 1:3690 EAST AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3537
Practice Address - Country:US
Practice Address - Phone:585-899-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20053036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist