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Individual

JITENDRA G GANDHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
705 COOK DR STE 203, ATHENS, TN 37303-3494
(423) 745-1411
Mailing address
705 COOK DR STE 203, ATHENS, TN 37303-3494
(423) 745-1411

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14781
TN
174400000X
Specialist
MD14781
TN
207RX0202X
Medical Oncology Physician
Primary
14781
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3000285
TN
05
Q003567
TN
Enumeration date
04/18/2006
Last updated
06/20/2022
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