Provider Demographics
NPI:1821651779
Name:GANDHI, ANAND DIPAKKUMAR (MD)
Entity type:Individual
Prefix:
First Name:ANAND
Middle Name:DIPAKKUMAR
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1379
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92393-1379
Mailing Address - Country:US
Mailing Address - Phone:760-542-4180
Mailing Address - Fax:442-355-4920
Practice Address - Street 1:16003 TUSCOLA RD STE H
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-0825
Practice Address - Country:US
Practice Address - Phone:760-810-0888
Practice Address - Fax:760-810-7060
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA178494207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism