Jay Vipulkumar Gandhi, PA-C
Physician Assistant, Medical in Hartford, CT. Individual provider (NPI-1).
NPI number1831968429
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1831968429
- Entity type
- Individual (NPI-1)
- Name
- Jay Vipulkumar Gandhi
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 25, 2023
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 006934 | CT | Yes |
Practice location
80 Seymour StHartford, CT 06102-8000
Phone 609-729-4958
Mailing address
80 Seymour StHartford, CT 06102-8000
Phone 860-972-9495
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