Provider Demographics
NPI:1578761755
Name:GANDHI, NANDINI G (MD)
Entity Type:Individual
Prefix:DR
First Name:NANDINI
Middle Name:G
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:919-734-6602
Mailing Address - Fax:916-734-6992
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:SUITE 2400
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:919-734-6602
Practice Address - Fax:916-734-6992
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2013-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA118195207W00000X
NC163394207W00000X
IAR-8003207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology