Mukesh M Gandhi, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14842 Issued in SC

Legal business name

MUKESH M GANDHI, MD, PA

Practice address

409 E Georgia St
Woodruff, SC 29388-1915

Phone

(864) 476-7068

Fax

(864) 476-7069

NPI assigned

Nov 28, 2006

Last updated

Oct 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mina Gandhi

Title

Practice Administrator

Phone

(864) 476-7068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72881

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mukesh M Gandhi, M.D.

  • Internal Medicine Physician
  • Duncan, SC
  • NPI 1982608469
  Medicare reassignment NPD
• Denise Lepage, NP

  • Nurse Practitioner
  • Lincolnton, NC
  • NPI 1982076238
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1851467203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E GEORGIA ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881915",
            "telephone_number": "864-476-7068",
            "fax_number": "864-476-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E GEORGIA ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881915",
            "telephone_number": "864-476-7068",
            "fax_number": "864-476-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH M GANDHI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-476-7068",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "14842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree T. McBride, P.T.
• Leah A McKee, RRT, RCP
• Carolyn Ruth Miller
• Terria Lorraine Miller, MSP, CCC-SLP
• Frankie Gwinn Moore, M.ED., NCC
• James Wesley Munn, DMD
• Sonja B Nagle, MSPT
• New Beginnings Psychiatry LLC (Path to Peace Psychiatry)
• Samantha Newman, RBT
• Elizabeth Ashley Nickerson, RN, BSN, IBCLC

• Internal Medicine Physician in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.