Individual
DR. VIJAYKUMAR KANTILAL GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2500
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(609) 465-3995
(609) 465-4913
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA04454500
NJ
207RX0202X
Medical Oncology Physician
MD037018E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06- 1286525
TAXPAYER IDENTI. NUMBER
—
05
—
1264800
—
NJ
Enumeration date
04/10/2006
Last updated
05/09/2022
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