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Contact Information

VIDYADHAR R GANDRA, MD
12750 ST FRANCIS DR STE 320
CROWN POINT, IN46037-0264
 Phone: 219-662-0077
 Fax: 219-662-9496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VIDYADHAR R GANDRA · (Male)

NPI Number 1770580789
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 01/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01029999
  • IN Medicaid 100259640A
Hospital affiliation(s)
  • FRANCISCAN ST ANTHONY HEALTH - CROWN POINT - (Acute Care)
    1201 S MAIN ST
    CROWN POINT, IN 46307
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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