Individual
VIJAY V GANDEVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF ANESTHESIA-DHMC, LEBANON, NH 03756-1000
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OF ANESTHESIA-DHMC, LEBANON, NH 03756-1000
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
153354
MA
207L00000X
Anesthesiology Physician
Primary
17757
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HX4517
MEDICARE ID
MA
Enumeration date
06/01/2006
Last updated
11/01/2016
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