Organization · NPI-2

Gandhi Mohandas Gutta, M.D.S.C

Surgery · Oak Brook, IL

NPI number1649340449
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1649340449
Entity type
Organization (NPI-2)
Legal business name
Gandhi Mohandas Gutta, M.D.S.C
Organization subpart
No
Enumeration date
Nov 9, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery36053064ILYes

Practice location

29 N Tower Rd
Oak Brook, IL 60523-1103

Phone 630-627-1990 · Fax 630-627-7757

Mailing address

29 N Tower Rd
Oak Brook, IL 60523-1103

Phone 630-627-1990 · Fax 630-627-7757

Authorized official

Gandhi Mohandas Gutta
President
6306271990

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