Individual
ISHANDEEP S GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 W KENWOOD AVE STE 100, DECATUR, IL 62526-4379
(217) 872-3800
(217) 872-0849
Mailing address
102 W KENWOOD AVE STE 100, DECATUR, IL 62526-4379
(217) 872-3800
(217) 872-0849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125083679
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2024
Last updated
08/06/2024
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