Provider Demographics
NPI:1881714848
Name:GANDHI, KANIKA (RD)
Entity type:Individual
Prefix:MRS
First Name:KANIKA
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4226
Mailing Address - Country:US
Mailing Address - Phone:908-431-0900
Mailing Address - Fax:908-431-0900
Practice Address - Street 1:83 HILLS DR
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4226
Practice Address - Country:US
Practice Address - Phone:908-431-0900
Practice Address - Fax:908-431-0900
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ805907133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7812924OtherAETNA
NJ2778178OtherUNITED HEALTHCARE
NJP3800510OtherOXFORD HEALTHPLANS