1447582937 NPI number — SHEFALI GANDHI, PSY.D., P.L.L.C.

Table of content: CHENGJIE YANG D.D.S. (NPI 1306046578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447582937 NPI number — SHEFALI GANDHI, PSY.D., P.L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHEFALI GANDHI, PSY.D., P.L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447582937
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13395 E SORREL LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85259-6315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-430-2051
Provider Business Mailing Address Fax Number:
480-614-0435

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7120 E 6TH AVE
Provider Second Line Business Practice Location Address:
SUITE 20
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85251-3228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-430-2051
Provider Business Practice Location Address Fax Number:
480-614-0435
Provider Enumeration Date:
02/08/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GANDHI
Authorized Official First Name:
SHEFALI
Authorized Official Middle Name:
Authorized Official Title or Position:
LICENSED PSYCHOLOGIST
Authorized Official Telephone Number:
602-430-2051

Provider Taxonomy Codes

  • Taxonomy code: 103TC2200X , with the licence number:  3946 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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