Individual
DR. SHASHANK VIJAY GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 MEDICAL CENTER DR STE 301, MCKINNEY, TX 75069-1603
(972) 608-5000
(972) 608-5068
Mailing address
6020 W PARKER RD STE 200, PLANO, TX 75093-8172
(972) 608-5000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
101231
GA
207T00000X
Neurological Surgery Physician
Primary
T1707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101231
GEORGIA COMPOSITE MEDICAL BOARD
GA
01
—
T1707
TMB
TX
Enumeration date
03/26/2013
Last updated
08/22/2024
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