Individual
KAUSHANG A GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4441 ATLANTA RD SE STE 213, SMYRNA, GA 30080-6442
(470) 956-9480
(678) 842-5539
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01070677A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
79651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201112750
—
IN
01
—
P01678721
MEDICARE RAILROAD PTAN
IN
Enumeration date
08/21/2009
Last updated
12/19/2019
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