Provider Demographics
NPI:1457429045
Name:GANDHI, NEHA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 DIXMYTH AVE
Mailing Address - Street 2:FACULTY MEDICAL CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2475
Mailing Address - Country:US
Mailing Address - Phone:513-862-6959
Mailing Address - Fax:513-751-8638
Practice Address - Street 1:375 DIXMYTH AVE
Practice Address - Street 2:FACULTY MEDICAL CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2475
Practice Address - Country:US
Practice Address - Phone:513-862-6959
Practice Address - Fax:513-751-8638
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087036208M00000X, 207R00000X
GA059725208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2611954Medicaid
GAP00472043OtherRR MEDICARE
GA440026651AMedicaid
GA440026651AMedicaid
GAP00472043Medicare PIN
GA511I110230Medicare PIN
OH4172391Medicare PIN
I44850Medicare UPIN