Provider Demographics
NPI:1841852258
Name:GANDHI, NIMESHKUMAR (PHARM D)
Entity type:Individual
Prefix:DR
First Name:NIMESHKUMAR
Middle Name:
Last Name:GANDHI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 OAKDALE RD STE E
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-2257
Mailing Address - Country:US
Mailing Address - Phone:209-523-4932
Mailing Address - Fax:209-526-4932
Practice Address - Street 1:2601 OAKDALE RD STE E
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2257
Practice Address - Country:US
Practice Address - Phone:209-523-4932
Practice Address - Fax:209-526-9945
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist