Individual
GEORGE N GANDEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
519 HARRIET ST, EVANSVILLE, IN 47710-1715
(812) 450-7720
(812) 450-7730
Mailing address
50 DAYTON LN, SUITE 202, PEEKSKILL, NY 10566-2859
(914) 739-0087
(914) 737-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246946
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
246946
NY
207RP1001X
Pulmonary Disease Physician
Primary
01074075A
IN
207RP1001X
Pulmonary Disease Physician
246946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646766
—
NY
Enumeration date
01/04/2008
Last updated
05/06/2019
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