Gregory Alexander Gandarillas, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS23768 Issued in FL

Practice address

4190 City Ave
Philadelphia, PA 19131-1626

Phone

(786) 385-6968

NPI assigned

Mar 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1154071579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 BAMBOO CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142937",
            "telephone_number": "786-385-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "786-385-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDARILLAS",
        "first_name": "GREGORY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS23768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Ganas
• Ganasa LLC
• Elizabeth Gancher, M.D.
• Michael Jeffrey Gandal, M.D., PH.D.
• Gandaparsin, LLC
• Ronald T. Gandel, D.D.S.
• Avani Gandhi, MD
• Rushika Gandhi, MD
• Sakshi Gandhi, MD
• Shifa Shabbir Gandhi, MD

• All providers in Philadelphia, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.