Provider Demographics
NPI:1558392464
Name:GANDHI, ARUN PARASHIJRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:PARASHIJRAM
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18126 SANDRINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2000
Mailing Address - Country:US
Mailing Address - Phone:626-795-6596
Mailing Address - Fax:626-795-8247
Practice Address - Street 1:11550 INDIAN HILLS RD
Practice Address - Street 2:160
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1239
Practice Address - Country:US
Practice Address - Phone:818-256-2100
Practice Address - Fax:818-838-9161
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35115207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A351150OtherBLUE SHIELD
CA00A351151Medicaid
A84737Medicare UPIN
CA00A351150OtherBLUE SHIELD
CA00A351151Medicaid
CAWA35115CMedicare PIN