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Dr. Sumul Ashok Gandhi, MD

Dermatology in Quincy, IL. Individual provider (NPI-1).

NPI number1467769760
StatusActive
Last updated in NPPESJun 29, 2016

Details

NPI
1467769760
Entity type
Individual (NPI-1)
Name
Dr. Sumul Ashok Gandhi
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 8, 2010
Last updated
Jun 29, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DERMATOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology036135102ILYes

Practice location

1025 Maine St
Quincy, IL 62301-4038

Phone 217-222-6550

Mailing address

1025 Maine St
Quincy, IL 62301-4038

Phone 217-222-6550

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Quincy, IL

All 7 Dermatology Physician providers in Quincy · All 1,678 providers in Quincy

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