Individual
DR. MITUL GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9450 INNOVATION DR, MANASSAS, VA 20110-2214
(571) 350-8400
(571) 222-2202
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(571) 222-2202
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0101257153
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101257153
VA
207RX0202X
Medical Oncology Physician
0101257153
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639379308
—
VA
Enumeration date
07/20/2007
Last updated
11/12/2025
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