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
Fax: (302) 421-4159
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386823425 NPPES
Delaware MEDICAID 250606327
Delaware MEDICAID 102269160-0001

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