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1770580789
VIDYADHAR R. GANDRA
CROWN POINT, IN
NPI
1770580789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN 01029999)
Enumeration Date
2005-07-05
Last Update Date
2024-01-12
Business Address
VIDYADHAR R. GANDRA M.D.
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 46037-0264
Phone number: 219-662-0077
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Mailing Address
VIDYADHAR R. GANDRA M.D.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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