Organization Active NPI

Ravinder Gandhi, M.D., P.C.

  • Pulmonary Disease Physician
  • Wyandotte, MI
National Provider Identifier
1699846360
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301067153 Issued in MI
Legal business name
RAVINDER GANDHI, M.D., P.C.
Practice address
2025 Ford Ave
Wyandotte, MI 48192-2312
Phone
(734) 281-3080
Fax
(734) 281-8815
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Ravinder Gandhi, M.D.NPI 1003995689
Title
Doctor
Phone
(734) 281-3080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 4301067153 MI Primary

Addresses

Primary practice location

2025 Ford Ave
Wyandotte, MI 48192-2312

Mailing address

2025 Ford Ave
Wyandotte, MI 48192-2312
Phone (734) 281-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000666 MI Part B Supplier - Clinic/Group Practice 5294744496 Receives reassigned benefits from 2 practitioners
Practice locations: Wyandotte, MI

National Provider Directory

National Provider Directory

Locations

2025 Ford Ave
Ste 100
Wyandotte, MI 48192
Phone (734) 281-3080

2025 Ford Ave
Wyandotte, MI 48192
Phone (734) 281-3080

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1699846360",
    "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": "734-281-3080",
            "fax_number": "734-281-8815"
        },
        {
            "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": "734-281-3080",
            "fax_number": "734-281-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER GANDHI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "734-281-3080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301067153",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.