Jagjeevan Rao Gandra
MD | Pediatrics | Male
Jagjeevan Rao Gandra, MD is a Michigan City, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jagjeevan Rao Gandra is
3723 Franklin St, Michigan City, Indiana - 46360-7310. He can be contacted on phone at
219-874-3313 and fax number 219-878-2330.
Jagjeevan Rao Gandra is a sole proprietor of his business.
NPI number (Unique professional ID) for Jagjeevan Rao Gandra is
1205821014 which was assigned by NPPES on 19 Sep, 2005 and it was last updated on 13 Apr, 2023.
Jagjeevan Rao Gandra license number is
01045405A for Pediatrics (208000000X) in Indiana.
Jagjeevan Rao Gandra is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jagjeevan Rao Gandra basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jagjeevan Rao Gandra |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jagjeevan Rao Gandra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3723 Franklin St
Michigan City, IN, 46360-7310
United States |
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| Phone Number : | 219-874-3313 |
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| Fax Number : | 219-878-2330 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205821014 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Sep, 2005 |
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| Last Updated On : | 13 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jagjeevan Rao Gandra are as mentioned. Primary taxonomy code for Jagjeevan Rao Gandra, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01045405A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Jagjeevan Rao Gandra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000371639 | Other (non-Medicare) | IN | Anthem |
| 200096690 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | dgandra5748@Direct.FranciscanAlliance.org
| No affiliation | DIRECT
Direct
|
| 3723 Franklin St,
Michigan City, IN, 46360-7310
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 781076
Detroit, MI, 48278-1076
United States |
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| Phone Number : | 317-528-4800 |
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| Fax Number : | 317-865-1479 |
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Business Location:
Patients can refer following map for directions to
Jagjeevan Rao Gandra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.