Individual
DR. MAMATHA GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
30960
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171183
—
AL
Enumeration date
08/01/2008
Last updated
08/07/2024
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