Individual
DR. PANKAJ H GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2735 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2548
(904) 721-0894
(904) 721-0991
Mailing address
2735 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2548
(904) 721-0894
(904) 721-0991
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME056092
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME056092
FL
207UN0901X
Nuclear Cardiology Physician
ME056092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011033200
—
FL
Enumeration date
04/06/2006
Last updated
01/12/2015
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