Provider Demographics
NPI:1952634750
Name:GANDHI, SHEFALI (DO)
Entity Type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 NORTH BEERS STREET, BUILDING 2, SUITE 4
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1527
Mailing Address - Country:US
Mailing Address - Phone:732-788-6537
Mailing Address - Fax:732-254-1558
Practice Address - Street 1:670 NORTH BEERS STREET, BUILDING 2, SUITE 4
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1527
Practice Address - Country:US
Practice Address - Phone:732-788-6537
Practice Address - Fax:732-254-1558
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB087379002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology