Individual
SUSHEER GANDOTRA
Active
Individual
SUSHEER GANDOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
C1-0008498
DE
207RI0200X
Infectious Disease Physician
Primary
MD435097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021961250001
—
PA
01
—
1083663694
NPI
DE
Enumeration date
05/09/2006
Last updated
12/29/2010
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