Provider Demographics
NPI:1396002325
Name:GANDHI, UJJAWAL H (MBBS, PHD)
Entity type:Individual
Prefix:DR
First Name:UJJAWAL
Middle Name:H
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MBBS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PARKWAY OFFICE COURT
Mailing Address - Street 2:PARKWAY PROFESSIONAL PARK, SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:984-974-2150
Mailing Address - Fax:984-974-2151
Practice Address - Street 1:150 PARKWAY OFFICE CT STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-0002
Practice Address - Country:US
Practice Address - Phone:984-974-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-00566207R00000X, 207RH0003X
TN56733207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program