Individual
SIVA SANTOSH KUMAR GANDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 BRIGHTWATER DR, LILLINGTON, NC 27546-5156
(910) 892-1000
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
(910) 215-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023-00908
NC
208M00000X
Hospitalist Physician
Primary
2023-00908
NC
Other
Enumeration date
04/07/2020
Last updated
05/07/2026
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