| Jayant H. Gandhi,m.d. | |
|
666 Grand St Brooklyn NY 11211-4853 | |
| (718) 963-0555 | |
| (718) 963-4889 |
| Full Name | Jayant H. Gandhi,m.d. |
|---|---|
| Speciality | General Practice |
| Location | 666 Grand St, Brooklyn, New York |
| Authorized Official Name and Position | Hema J Gandhi (ADMINISTRATION) |
| Authorized Official Contact | 7187824768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayant H. Gandhi,m.d. 80 E End Ave 14-b New York NY 10028-8004 Ph: (212) 734-9031 | Jayant H. Gandhi,m.d. 666 Grand St Brooklyn NY 11211-4853 Ph: (718) 963-0555 |
| NPI Number | 1568485985 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 1355436528 |
|---|---|
| Medicare Enrollment ID | O20071003000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568485985 | NPI | - | NPPES |
| GJ617239 | Other | NY | GHI |
| 0192659 | Other | NY | GRAND STREET MEDICAL PC |
| 12295130 | Other | CAQH | |
| 55247 | Other | NY | HIP |
| 00199748 | Medicaid | NY | |
| 11128160NY | Other | NY | 1199 NATIONAL BENEFIT |
| WPPD41 | Medicaid | NY | |
| 03196274 | Medicaid | NY |
| Provider Name | Jayant H Gandhi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235176355 PECOS PAC ID: 3779675020 Enrollment ID: I20070816000611 |
| Provider Name | Altaf H Shaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891938825 PECOS PAC ID: 2961549837 Enrollment ID: I20091026000386 |
| Provider Name | Caroline Coicou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619305919 PECOS PAC ID: 7012203730 Enrollment ID: I20160907000671 |
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