Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 35.097602 | OH |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 35.097602 | OH |
N | 207NS0135X | Procedural Dermatology | 35.097602 | OH |
NPI | 1134362403 |
---|---|
Provider Name | Dr. Rishi Kumar Gandhi |
First Address | Dayton, OH 45429-3505 |
Second Address | Dayton, OH 45429-3505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 02/11/2020 |