Individual
SHAYLIN S GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1335 E SOUTH BOULDER RD STE C, LOUISVILLE, CO 80027-2304
(720) 961-9700
Mailing address
1335 E SOUTH BOULDER RD STE C, LOUISVILLE, CO 80027-2304
(720) 961-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2012-0014
NM
363AM0700X
Medical Physician Assistant
Primary
PA.0004048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61358347
—
NM
Enumeration date
04/30/2012
Last updated
08/12/2021
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