Gandhi, Rajendra T

Gandhi, Rajendra T is an sole proprietor health care provider with primary practice located at 2551 Greenwood Rd #220, Shreveport LA 71103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gandhi, Rajendra T can be contacted via phone (318) 635-9855.

Contact Information

Primary practice address
2551 Greenwood Rd #220 Shreveport LA 71103
Fax: (318) 635-9857
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L005102R Louisiana

Profile Details

NPI number 1750379608
LBN Legal business name Gandhi, Rajendra T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Nov 5th, 2012 - about 14 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 1750379608 NPPES
Louisiana MEDICAID 1304476

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