| Devinder S. Gandhi, M.d., Inc. | |
|
1560 E Chevy Chase Dr Suite 320 Glendale CA 91206-4197 | |
| (818) 243-2222 | |
| Not Available |
| Full Name | Devinder S. Gandhi, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1560 E Chevy Chase Dr, Glendale, California |
| Authorized Official Name and Position | Devinder S. Gandhi (PRESIDENT) |
| Authorized Official Contact | 8182432222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devinder S. Gandhi, M.d., Inc. Po Box 10609 Burbank CA 91510-0609 Ph: (818) 526-0200 | Devinder S. Gandhi, M.d., Inc. 1560 E Chevy Chase Dr Suite 320 Glendale CA 91206-4197 Ph: (818) 243-2222 |
| NPI Number | 1205082179 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Medicare PECOS PAC ID | 6002977154 |
|---|---|
| Medicare Enrollment ID | O20081208000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205082179 | NPI | - | NPPES |
| 00A480240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A48024 (California) | Primary |
| Provider Name | Devinder S Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467492371 PECOS PAC ID: 7810983236 Enrollment ID: I20040421001795 |
| Provider Name | Jaspreet Kaur Takhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073095857 PECOS PAC ID: 5597173997 Enrollment ID: I20210423002282 |
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