| Doctor Name: | DR. SANJAY PANKAJ GANDHI |
| NPI Number: | 1124023353 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | N005953 |
| Business Practice Address: | 215 Gordons Corner Rd Suite 2a Manalapan, NJ - 077263351 |
| Business Phone Number: | 7324467136 |
| Business Fax Number: | 7324467138 |
| Mailing Address: | 215 Gordons Corner Rd, Suite 2a MANALAPAN |
| State: | NJ |
| Postal Code: | 077263351 |
| Phone Number: | 7324467136 |
| Fax Number: | 7324467138 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 04/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N005953 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |