Active NPI
Dr Ravinder Gandhi
- Specialist
- Wyandotte, MI
National Provider Identifier
1184696213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4704184417
- Legal business name
- DR RAVINDER GANDHI
- Practice address
- 2025 Ford Ave
Wyandotte, MI 48192-2312 - Phone
- (173) 478-2213
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelley Ann Markowski, NP
- Title
- NP
- Phone
- (173) 428-1308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4704184417 | MI | Primary |
Addresses
Primary practice location
2025 Ford Ave
Wyandotte, MI 48192-2312
Mailing address
2025 Ford Ave
Wyandotte, MI 48192-2312
Phone (173) 478-2213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4763992 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Wyandotte, MI
- NPI 1003995689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184696213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922312",
"telephone_number": "173-478-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922312",
"telephone_number": "173-478-2213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR RAVINDER GANDHI",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARKOWSKI",
"authorized_official_first_name": "KELLEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "173-428-1308",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4704184417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4763992",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.