Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 282095 | MA |
N | 207Q00000X | Family Doctor | MD15498 | RI |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD15498 | RI |
NPI | 1619230034 |
---|---|
Provider Name | Dr. Niel K Gandhi |
First Address | Foxboro, MA 02035-5312 |
Second Address | Foxboro, MA 02035-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2012 |
Last Update Date | 13/01/2021 |