Individual
ANITA GANDHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 HYDE ST, SAN FRANCISCO, CA 94109-4806
(415) 353-6817
(415) 353-6887
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2732
(510) 879-9130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A81491
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A81491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A814910
BCBS - CA
CA
05
—
00A814910
—
CA
01
—
00A814911
BCBS - CA
CA
01
—
P00472044
RR MEDICARE
CA
Enumeration date
08/18/2006
Last updated
08/06/2024
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