Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MB09417400 | NJ |
N | 111NI0900X | Internist | 25MB09417400 | NJ |
Y | 207RI0200X | Infectious Disease | 25MB09417400 | NJ |
NPI | 1023402534 |
---|---|
Provider Name | Dr. Shveta V Gandhi |
First Address | Marlton, NJ 08053-4197 |
Second Address | Haddon Heights, NJ 08035-1938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2015 |
Last Update Date | 19/10/2020 |