Provider Demographics
NPI:1285878553
Name:GANDHI, PIYA TREHAN (DDS)
Entity type:Individual
Prefix:
First Name:PIYA
Middle Name:TREHAN
Last Name:GANDHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 BAGBY ST
Mailing Address - Street 2:APT #4316
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8573
Mailing Address - Country:US
Mailing Address - Phone:917-453-7207
Mailing Address - Fax:
Practice Address - Street 1:2214 BAGBY ST
Practice Address - Street 2:APT #4316
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8573
Practice Address - Country:US
Practice Address - Phone:917-453-7207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5462717681223G0001X
TX262441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice