Provider Demographics
NPI:1457571804
Name:GANDHI, NEIL ASHOK (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ASHOK
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 1:3714 ELKINS RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3259
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 HIGHLAND CROSS DR
Practice Address - Street 2:SUITE 275
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1733
Practice Address - Country:US
Practice Address - Phone:281-784-1500
Practice Address - Fax:281-784-1653
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT185995207P00000X
TXN6872207P00000X
NY248848207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DE418OtherBCBS
TX214222606Medicaid
TX1457571804OtherTRICARE SOUTH
TX214222606Medicaid
TX8DE418OtherBCBS
NYP00703779Medicare PIN
TXTXB151385Medicare PIN