Individual
DINESH R GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
236 FORSYTH ST SW, ATLANTA, GA 30303-3786
(404) 521-2410
(877) 411-0199
Mailing address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00007119
AL
207R00000X
Internal Medicine Physician
Primary
74119
GA
207R00000X
Internal Medicine Physician
EL191035
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51528853
BCBS
AL
Enumeration date
11/09/2005
Last updated
06/25/2024
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