Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ajeet D Gordhan, MD

Individual provider Neuroradiology Physician · NPI 1306892369

Dr. Ajeet D Gordhan, MD is a Diagnostic Radiology in Normal, Illinois. Qualified in 1991, 35 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2200 Fort Jesse Rd Ste 280
Normal, IL 61761-6286
Phone: (309) 452-1788
Fax: (309) 862-1302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 36110222 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 36110222 (IL)

Record details

NPI number1306892369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2006
Last updated in NPPESNovember 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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