Provider Demographics
NPI:1518989847
Name:GANDHI, AASHISH V (MD)
Entity Type:Individual
Prefix:
First Name:AASHISH
Middle Name:V
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AASHISH
Other - Middle Name:V
Other - Last Name:GANDHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2902 CROSSING CT
Mailing Address - Street 2:STE E
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-6176
Mailing Address - Country:US
Mailing Address - Phone:217-355-7494
Mailing Address - Fax:217-355-7495
Practice Address - Street 1:602 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-2530
Practice Address - Country:US
Practice Address - Phone:217-383-3311
Practice Address - Fax:217-326-1628
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036097961207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG49370Medicare UPIN