Individual
SANDHYA SHAILESH GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 460-1425
Mailing address
7415 FRONTIER AVE, FORT WAYNE, IN 46835-4193
(260) 486-4886
(260) 486-4886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01052832A
IN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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