# RAJENDRA T GANDHI, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053595769
- **Authorized official:** MRS. VIBHA GANDHI (OFFICE MANAGER)
- **Authorized official phone:** (318) 635-9855

## Contact information

- **Practice address:** 2551 GREENWOOD RD STE 220, SHREVEPORT, LA 71103-3985
- **Practice address phone:** (318) 635-9855
- **Mailing address:** 2551 GREENWOOD RD STE 220, SHREVEPORT, LA 71103-3985
- **Mailing address phone:** (318) 635-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007