Provider Demographics
NPI:1366898769
Name:GANDHI, MAI DANG (DO)
Entity type:Individual
Prefix:
First Name:MAI
Middle Name:DANG
Last Name:GANDHI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2025 TECHNOLOGY PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9402
Mailing Address - Country:US
Mailing Address - Phone:717-988-1450
Mailing Address - Fax:717-221-5544
Practice Address - Street 1:2025 TECHNOLOGY PKWY STE 212
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9402
Practice Address - Country:US
Practice Address - Phone:717-988-1450
Practice Address - Fax:717-221-5544
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS022412208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery