| Shailesh Gandhi,md,pc | |
|
4015 S Cobb Dr Se Suite 275 Smyrna GA 30080-6303 | |
| (770) 805-8365 | |
| (770) 805-8367 |
| Full Name | Shailesh Gandhi,md,pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4015 S Cobb Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Shailesh V Gandhi (PSYCHIATRIST) |
| Authorized Official Contact | 7708058365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shailesh Gandhi,md,pc 4015 S Cobb Dr Se Suite 275 Smyrna GA 30080-6303 Ph: (770) 805-8365 | Shailesh Gandhi,md,pc 4015 S Cobb Dr Se Suite 275 Smyrna GA 30080-6303 Ph: (770) 805-8365 |
| NPI Number | 1952468316 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 7113096793 |
|---|---|
| Medicare Enrollment ID | O20080522000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952468316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 034139 (Georgia) | Primary |
| Provider Name | Shailesh Gandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326218686 PECOS PAC ID: 5597733147 Enrollment ID: I20040921000885 |
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