Individual provider Active NPI

Deena Gandhi, MD

  • Psychiatry Physician
  • Sugar Land, TX
National Provider Identifier
1124021480
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J4136 Issued in TX
Practice address
56 Sugar Creek Center Blvd
Suite 350
Sugar Land, TX 77478-4063
Phone
(281) 277-9137
Fax
(281) 277-9141
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J4136 TX Primary

Addresses

Primary practice location

56 Sugar Creek Center Blvd
Suite 350
Sugar Land, TX 77478-4063

Mailing address

PO Box 17643
Sugar Land, TX 77496-7643
Phone (281) 277-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J4136TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Medical Clinics, P.a. Past Accepting new patients
Deena Gandhi MD PA Psychiatry PastSince Nov 14, 2004 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1124021480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17643",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967643",
            "telephone_number": "281-277-9137",
            "fax_number": "281-277-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SUGAR CREEK CENTER BLVD",
            "address_2": "SUITE 350",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784063",
            "telephone_number": "281-277-9137",
            "fax_number": "281-277-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "DEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.