Individual
ANDY S. GOBERDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 SACKETT ST, PHILADELPHIA, PA 19149
(267) 448-4908
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01091743A
IN
207RH0003X
Hematology & Oncology Physician
C1-0023949
DE
208D00000X
General Practice Physician
MD435721
PA
208M00000X
Hospitalist Physician
95880
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102269160-0001
—
PA
05
—
250606327
—
DE
Enumeration date
10/25/2007
Last updated
04/29/2026
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