Natasha Gandhi, PA-C
Individual provider Active NPI Physician Assistant · Grosse Ile, MI
NPI 1801418314 · NPPES record last updated May 7, 2020
Key facts
- NPI
- 1801418314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601009770 (MI)
- Practice address
- 22750 E River Rd
Grosse Ile, MI 48138-1386 - Phone
- (734) 771-7282
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- ngandhi389744@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601009770 | MI | Yes |
Addresses
Primary practice location
22750 E River Rd
Grosse Ile, MI 48138-1386
Mailing address
22750 E River Rd
Grosse Ile, MI 48138-1386
Phone (734) 771-7282
Other providers in Grosse Ile, MI
- Downriver Clinic PC
- Egger Medical PLLC
- Nadia Ibrahim El Khatib
- Eldercare Home Care Group, Inc
- Elizabeth Ann Feirtag
- Lauren Georges
- Golden Era LLC
- Emily Grawburg
- Gregory E Stephens DO PC
- Alexander Griffith
All providers in Grosse Ile, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.