Doctor Name: | CHHAYA J GANDHI |
NPI Number: | 1003112236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 006046 |
Business Practice Address: | 1365 Clifton Rd Ne Suite A 4325 Atlanta, GA - 303221059 |
Business Phone Number: | 4047783914 |
Business Fax Number: | |
Mailing Address: | 1365 Clifton Rd Ne, Suite A 4325 ATLANTA |
State: | GA |
Postal Code: | 303221059 |
Phone Number: | 4047783914 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 006046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |