Provider Demographics
NPI:1427057843
Name:GANDHI, SAUMIL M (MD)
Entity type:Individual
Prefix:DR
First Name:SAUMIL
Middle Name:M
Last Name:GANDHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4030 TRADEWINDS DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1253
Mailing Address - Country:US
Mailing Address - Phone:805-525-4650
Mailing Address - Fax:805-648-6572
Practice Address - Street 1:253 MARCH ST
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-2511
Practice Address - Country:US
Practice Address - Phone:805-525-4650
Practice Address - Fax:805-648-6572
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA54272207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A542720Medicaid
CA00A542720Medicaid