| Upasna Gandhi Pc | |
|
333 E Tillman Rd Fort Wayne IN 46816-1017 | |
| (260) 447-1776 | |
| Not Available |
| Full Name | Upasna Gandhi Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 333 E Tillman Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Upasna Gandhi (DENTIST/OWNER) |
| Authorized Official Contact | 2604471776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upasna Gandhi Pc 333 E Tillman Rd Fort Wayne IN 46816-1017 Ph: (260) 447-1776 | Upasna Gandhi Pc 333 E Tillman Rd Fort Wayne IN 46816-1017 Ph: (260) 447-1776 |
| NPI Number | 1386360378 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386360378 | NPI | - | NPPES |
| 300011966 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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