KEVIN K. GANDHI, M.D., PLLC (NPI# 1669898201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669898201 |
| Entity Type | Organization |
| Organization Name | KEVIN K. GANDHI, M.D., PLLC |
| Practice Address |
1530 S Union Ave Ste 5 Tacoma WA 98405-1954 |
| Practice Telephone | 2532728285 |
| Practice Fax Number | 2537593213 |
| Mailing Telephone | 2532728285 |
| Mailing Fax Number | 2537593213 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | LYNNE R MOREY (MANAGER) |
| Authorized Official Telephone | 2532728285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
MD00031747 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1088632 | 05 |
| Street Address |
1530 S UNION AVE STE 5 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194848317 | Kevin K Gandhi | Urology | 1530 S Union Ave, Suite 5, Tacoma, WA 98405-1954 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710184494 | Dimitri Kuznetsov, M.d. Pllc | Urology | 1274 7th St Ste B, Port Townsend, WA 98368-2404 | 2007-06-27 |
| 1447576137 | Providence Physician Services Co | Urology | 315 W 9th Ave, Ste 200, Spokane, WA 99204-2501 | 2010-04-20 |
| 1992931281 | Jennifer Ahn | Urology | 4800 Sand Point Way Ne, Oa.9.220, Seattle, WA 98105-3901 | 2009-06-01 |
| 1356506331 | Jose Nicolas Fernandez Bonilla | Urology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-07-19 |
| 1932302163 | Bertram Joseph Levy | Urology | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2007-06-06 |
| 1417038779 | Thomas S. Lendvay | Urology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1467546796 | Martin A. Koyle | Urology | 4800 Sand Point Way Ne, Division of Urology W7729, Seattle, WA 98105-3901 | 2006-10-03 |
| 1912993320 | Mark P Cain | Urology | 1959 Ne Pacific St, Seattle, WA 98195-5128 | 2005-09-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.