Dr Mrugendra M Gandhi, MD is a
Surgery physician based in Fox Lake, Illinois. Dr Mrugendra M Gandhi is licensed to practice in Illinois (license number 36 51634) and his current practice location is 208 E Grand Ave, Fox Lake, Illinois. He can be reached at his office (for appointments etc.) via phone at
(224) 715-5571.
NPI number for Dr Mrugendra M Gandhi is 1528050978 and his current mailing address is 108 Legion Dr, Ste A, Las Vegas, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528050978.
Physician's Profile
Full Name | Dr Mrugendra M Gandhi |
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Gender | Male |
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Speciality | Surgery |
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Location | 208 E Grand Ave, Fox Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528050978
- Provider Enumeration Date: 08/20/2005
- Last Update Date: 04/13/2016
Medical Identifiers
Medical identifiers for Dr Mrugendra M Gandhi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528050978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 36 51634 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mrugendra M Gandhi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mrugendra M Gandhi, MD 108 Legion Dr, Ste A, Las Vegas, NM 87701-4898 Ph: (847) 816-4957 | Dr Mrugendra M Gandhi, MD 208 E Grand Ave, Fox Lake, IL 60020-1604 Ph: (224) 715-5571 |
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