Individual
KEVIN K GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 S UNION AVE, SUITE 5, TACOMA, WA 98405-1954
(253) 272-8285
(253) 759-3213
Mailing address
1530 S UNION AVE, SUITE 5, TACOMA, WA 98405-1954
(253) 272-8285
(253) 759-3213
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
MD00031747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1088632
—
WA
Enumeration date
04/10/2007
Last updated
04/19/2012
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