Individual provider · Type 1 NPI

Shivam Gandhi

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1770438376 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0816

Mailing address

3419 Cedar Crest Ln
Fairfax, VA 22033-1622

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770438376

Shivam Gandhi's National Provider Identifier is 1770438376, issued on Feb 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Feb 28, 2026.