Individual provider · NPI-1

Rujuta R Gandhi, M.D.

Family Medicine · Hammond, IN

NPI number1437180346
StatusActive
Last updated in NPPESNov 30, 2016

Details

NPI
1437180346
Entity type
Individual (NPI-1)
Name
Rujuta R Gandhi
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2006
Last updated
Nov 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01076786AINYes
207Q00000X Family Medicine036-115093IL

Practice location

4022 Hohman Ave
Hammond, IN 46327-1239

Phone 219-937-3300 · Fax 708-229-6071

Mailing address

736 W 95th St
Chicago, IL 60628-1063

Phone 773-487-9500 · Fax 708-229-6071

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