Individual
MALAY SURESH GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5398 PARK ST N, ST PETERSBURG, FL 33709-1041
(727) 544-1441
(727) 545-8263
Mailing address
5398 PARK ST N, ST PETERSBURG, FL 33709-1041
(727) 544-1441
(727) 545-8263
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME116350
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME116350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009123400
—
FL
01
—
14R1L
BCBS
FL
Enumeration date
04/10/2007
Last updated
04/12/2017
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