Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 37270 | SC |
NPI | 1154587012 |
---|---|
Provider Name | Sagar S Gandhi |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-6324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 25/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372705 | (05) | SC |