| Prachi Gandhi, Do Pa | |
|
1027 Town Center Dr Orange City FL 32763-8360 | |
| (386) 218-0222 | |
| (386) 218-0201 |
| Full Name | Prachi Gandhi, Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1027 Town Center Dr, Orange City, Florida |
| Authorized Official Name and Position | Prachi Gandhi (PHYSICIAN) |
| Authorized Official Contact | 8135286712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prachi Gandhi, Do Pa 1027 Town Center Dr Orange City FL 32763-8360 Ph: (386) 218-0222 | Prachi Gandhi, Do Pa 1027 Town Center Dr Orange City FL 32763-8360 Ph: (386) 218-0222 |
| NPI Number | 1700570850 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 7719344688 |
|---|---|
| Medicare Enrollment ID | O20230608000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700570850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Prachi Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619081023 PECOS PAC ID: 9335148352 Enrollment ID: I20110323000360 |
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