Provider Demographics
NPI:1427283928
Name:GANDHE, NALINIKUMARI
Entity type:Individual
Prefix:
First Name:NALINIKUMARI
Middle Name:
Last Name:GANDHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NALINIKUMARI
Other - Middle Name:
Other - Last Name:BETHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24555 HAIG STREET
Mailing Address - Street 2:HENRY FORD MEDICAL CENTER
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-1786
Mailing Address - Country:US
Mailing Address - Phone:313-375-2000
Mailing Address - Fax:313-375-2305
Practice Address - Street 1:24555 HAIG STREET
Practice Address - Street 2:HENRY FORD MEDICAL CENTER
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180
Practice Address - Country:US
Practice Address - Phone:313-375-2000
Practice Address - Fax:313-375-2305
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301100282207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine