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

Ishandeep S Gandhi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730926064

Ishandeep S Gandhi is a Student in an Organized Health Care Education/Training Program in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

102 W Kenwood Ave Ste 100
Decatur, IL 62526-4379
Phone: (217) 872-3800
Fax: (217) 872-0849
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125083679 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730926064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

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