Provider Demographics
NPI:1912115130
Name:GANDHI, KIRAN MUKESH (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRAN
Middle Name:MUKESH
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:808
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-777-6966
Mailing Address - Fax:713-777-6975
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:808
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-777-6966
Practice Address - Fax:713-777-6975
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
TXH1085207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD18417Medicare UPIN