Goberdhan, Andy S.
Goberdhan, Andy S. is an individual health care provider with primary practice located at 701 N Clayton St Ste 500 , Wilmington DE 19805-3165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Goberdhan, Andy S. can be contacted via phone (302) 421-4860.Contact Information
Primary practice address
701 N Clayton St Ste 500
Wilmington DE 19805-3165
Phone: (302) 421-4860
Fax: (302) 421-4159
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD435721 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | C1-0023949 | Delaware |
Profile Details
NPI number | 1386823425 |
---|---|
LBN Legal business name | Goberdhan, Andy S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2007 |
Last updated | Dec 16th, 2020 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386823425 | NPPES |
Delaware | MEDICAID | 250606327 | |
Delaware | MEDICAID | 102269160-0001 |
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