Provider Demographics
NPI:1043495682
Name:GANDHI, SEEMA RAJA (MD)
Entity type:Individual
Prefix:MS
First Name:SEEMA
Middle Name:RAJA
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:807 THICKET CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-4038
Mailing Address - Country:US
Mailing Address - Phone:443-766-0353
Mailing Address - Fax:
Practice Address - Street 1:2479 5TH STREET
Practice Address - Street 2:
Practice Address - City:FORT MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755
Practice Address - Country:US
Practice Address - Phone:410-305-5301
Practice Address - Fax:410-305-5345
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD006961207R00000X
MDD0066961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine