Provider Demographics
NPI:1588048342
Name:GANDHI, RAHUL
Entity type:Individual
Prefix:MR
First Name:RAHUL
Middle Name:
Last Name:GANDHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 MEDICAL CENTER DR STE B
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1771
Mailing Address - Country:US
Mailing Address - Phone:972-325-2273
Mailing Address - Fax:972-325-4400
Practice Address - Street 1:3001 S CENTRAL EXPY
Practice Address - Street 2:SUITE 200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7525
Practice Address - Country:US
Practice Address - Phone:972-548-1088
Practice Address - Fax:972-548-1668
Is Sole Proprietor?:No
Enumeration Date:2015-07-11
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist