Individual provider · Type 1 NPI
Shivam D. Gandhi, PA
Medical Physician Assistant · New Haven, CT
NPI number
1770412561
Active
Practice location
20 York St
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 7912 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1770412561
Shivam D. Gandhi, PA's National Provider Identifier is 1770412561, issued on May 18, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Jul 28, 2026.