Provider Demographics
NPI:1487797668
Name:GANDHI, RAHUL S (DMD)
Entity type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:S
Last Name:GANDHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 SPRING MIST CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5750
Mailing Address - Country:US
Mailing Address - Phone:281-383-9276
Mailing Address - Fax:
Practice Address - Street 1:699 S FRIENDSWOOD DR
Practice Address - Street 2:SUITE 108
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4579
Practice Address - Country:US
Practice Address - Phone:281-482-7731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice