Individual provider · NPI-1

Dr. Gandhi Mohandas Gutta, MD

Surgery · Oak Brook, IL

NPI number1730126087
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1730126087
Entity type
Individual (NPI-1)
Name
Dr. Gandhi Mohandas Gutta
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery036053064ILYes
208600000X Surgery23362AZ
208600000X SurgeryC51269CA
208600000X SurgeryME88434FL
208600000X Surgery12182HI
208600000X Surgery13266NE

Practice location

29 North Tower Road
Oak Brook, IL 60523-1103

Phone 630-627-1990 · Fax 630-627-7757

Mailing address

29 North Tower Road
Dr Gandhi M Gutta
Oak Brook, IL 60523-1103

Phone 630-627-1990 · Fax 630-627-7757

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