Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | Q3364 | TX |
Y | 111NI0900X | Internist | Q3364 | TX |
N | 208000000X | Pediatrician | Q3364 | TX |
NPI | 1003115452 |
---|---|
Provider Name | Pritesh Harish Gandhi |
First Address | Austin, TX 78752-3930 |
Second Address | Austin, TX 78752-3930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 27/11/2018 |