Harivadan K Gandhi MD SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036072781 Issued in IL

Legal business name

HARIVADAN K GANDHI MD SC

Practice address

7845 S Cottage Grove Ave
Suite#101
Chicago, IL 60619-3100

Phone

(773) 488-7744

Fax

(773) 488-3669

NPI assigned

Mar 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harivadan K Gandhi, M.D.NPI 1164525499

Title

President

Phone

(773) 488-7744

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harivadan K Gandhi, M.D.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1164525499
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1003181728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SILO RIDGE RD N",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677315",
            "telephone_number": "773-488-7744",
            "fax_number": "773-488-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 S COTTAGE GROVE AVE",
            "address_2": "SUITE#101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193100",
            "telephone_number": "773-488-7744",
            "fax_number": "773-488-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARIVADAN K GANDHI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "HARIVADAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-488-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036072781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072781",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaya Hariprasad
• Seenu Hariprasad
• Shahram Hariri, DDS
• Shamna Haris, M.D
• James Haritos
• Danielle Harkavy, PT, DPT
• Emma Harkavy, LPC
• William Edward Harkin, MD
• Ellen M Harkins, APRN, CRNA
• Adrianne Harkless, LCPC

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.