Individual
KHUSHBOO M GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015013975
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
72491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10009989
—
WI
Enumeration date
07/08/2015
Last updated
11/19/2021
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