Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | R8897 | TX |
NPI | 1023305281 |
---|---|
Provider Name | Dr. Soren Gandhi |
First Address | Dallas, TX 75247-4228 |
Second Address | Dallas, TX 75237-3447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2011 |
Last Update Date | 16/12/2019 |