Doctor Name: | NEELAY RAMESH GANDHI |
NPI Number: | 1861696825 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | BP10028449 |
Business Practice Address: | 2840 Legacy Dr Suite 400 Frisco, TX - 750346049 |
Business Phone Number: | 9727123652 |
Business Fax Number: | 2146183614 |
Mailing Address: | 2840 Legacy Dr, Suite 400 FRISCO |
State: | TX |
Postal Code: | 750346049 |
Phone Number: | 9727123652 |
Fax Number: | 2146183614 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP10028449 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |