Kevin K. Gandhi, M.D., PLLC

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

MD00031747 Issued in WA

Legal business name

KEVIN K. GANDHI, M.D., PLLC

Practice address

1530 S Union Ave Ste 5
Tacoma, WA 98405-1954

Phone

(253) 272-8285

Fax

(253) 759-3213

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Lynne R Morey

Title

Manager

Phone

(253) 272-8285

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1669898201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S UNION AVE STE 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051954",
            "telephone_number": "253-272-8285",
            "fax_number": "253-759-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S UNION AVE STE 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051954",
            "telephone_number": "253-272-8285",
            "fax_number": "253-759-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN K. GANDHI, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-272-8285"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "WA",
            "license": "MD00031747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1088632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Alexander Ketchum, MD
• Turan Ketene, DO
• Samanth Ketha, D.O.
• Jennifer Cobelli Kett, MD
• Benjamin James Kevan, DPT
• Kevin P. Schoenfelder, MD PS
• Kevin P. Schoenfelder, MD PS
• Kevin Song, DDS, PS
• Kevin Xu D.D.S., M.S.,P.S., Inc.
• Key Speech and Language LLC

• Pediatric Urology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.