Individual
RAJENDRA T GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 GREENWOOD RD, #220, SHREVEPORT, LA 71103
(318) 635-9855
(318) 635-9857
Mailing address
PO BOX 37063, SHREVEPORT, LA 71133-7063
(318) 635-9855
(318) 635-9857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L005102R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304476
—
LA
Enumeration date
10/13/2005
Last updated
11/05/2012
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