Individual
DR. PEAHEN GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11681 HAYNES BRIDGE RD STE 302, ALPHARETTA, GA 30009-2646
(470) 458-9705
(470) 458-9706
Mailing address
11681 HAYNES BRIDGE RD STE 302, ALPHARETTA, GA 30009-2646
(470) 458-9705
(470) 458-9706
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
057169
GA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
57169
GA
207VX0000X
Obstetrics Physician
057169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057169
GEORGIA STATE LICENSES
GA
01
—
16BBDLX
MEDICARE
GA
05
—
616316896A
—
GA
05
—
616316896C
—
GA
05
—
616316896D
—
GA
05
—
616316896E
—
GA
Enumeration date
06/18/2007
Last updated
02/24/2025
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