Provider Demographics
NPI:1720010036
Name:GANDHI, BHARAT RANGILDAS (MD)
Entity Type:Individual
Prefix:
First Name:BHARAT
Middle Name:RANGILDAS
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 1:9130 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6376
Mailing Address - Country:US
Mailing Address - Phone:281-564-3300
Mailing Address - Fax:281-498-0066
Practice Address - Street 1:9130 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6376
Practice Address - Country:US
Practice Address - Phone:281-564-3300
Practice Address - Fax:281-498-0066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3477207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137397902Medicaid
TX137397902Medicaid
TX0047ANMedicare ID - Type Unspecified