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Individual

RITA GANDHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 POPLAR STREET, STE 202, SOUTH CHARLESTON, WV 25309
(304) 342-3891
(304) 342-5307
Mailing address
500 POPLAR STREET, STE 202, SOUTH CHARLESTON, WV 25309
(304) 342-3891
(304) 342-5307

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23848
WV
2084N0400X
Neurology Physician
MD036788
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2999082
OH
05
3810016413
WV
05
7100105440
KY
Enumeration date
10/02/2008
Last updated
09/26/2012
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