Individual
RUJUTA R GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4022 HOHMAN AVE, HAMMOND, IN 46327-1239
(219) 937-3300
(708) 229-6071
Mailing address
736 W 95TH ST, CHICAGO, IL 60628-1063
(773) 487-9500
(708) 229-6071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01076786A
IN
207Q00000X
Family Medicine Physician
036-115093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200960640
—
IN
Enumeration date
07/06/2006
Last updated
11/30/2016
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