Gandhi, Peahen H

Gandhi, Peahen H is an individual health care provider with primary practice located at 227 Riverstone Dr , Canton GA 30114-5256. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Gandhi, Peahen H can be contacted via phone (770) 720-7733.

Contact Information

Primary practice address
227 Riverstone Dr Canton GA 30114-5256
Phone: (770) 720-7733
Fax: (678) 493-9875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 057169 Georgia
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 057169 Georgia

Profile Details

NPI number 1033314422
LBN Legal business name Gandhi, Peahen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Oct 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033314422 NPPES
Georgia Other 057169 GEORGIA STATE LICENSES
Georgia MEDICAID 616316896A GEORGIA STATE LICENSES
Georgia MEDICAID 616316896E GEORGIA STATE LICENSES
Georgia Other 16BBDLX GEORGIA STATE LICENSES
Georgia MEDICAID 616316896D GEORGIA STATE LICENSES
Georgia MEDICAID 616316896C GEORGIA STATE LICENSES

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