Individual
ADITHYA ED GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 MEDICAL OAKS AVE, BRANDON, FL 33511
(813) 689-8755
(813) 689-8755
Mailing address
PO BOX 3530, BRANDON, FL 33509-3530
(813) 685-2191
(813) 689-8755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0069937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379407500
—
FL
Enumeration date
07/13/2006
Last updated
10/31/2018
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