Ajeet D Gordhan is a Neuroradiology in Normal, Illinois. Ajeet D Gordhan practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Ajeet D Gordhan is 1306892369. The last update date is 2016-11-16.
Ajeet D Gordhan's current location address is 2200 Fort Jesse Rd, Normal, Illinois. You can contact this provider via phone number 3094521788 and fax number 3098621302. The mailing address for Ajeet D Gordhan is 2200 Fort Jesse Rd, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ajeet D Gordhan |
|---|---|
| Address | 2200 Fort Jesse Rd, Normal, Illinois |
| Phone Number | 3094521788 |
| Fax Number | 3098621302 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306892369 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2016-11-16 |
Provider Mailing Address Detail
| Address | 2200 Fort Jesse Rd |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617616286 |
| Phone Number | 3094521788 |
| Fax Number | 3098621302 |
Provider's Primary Taxonomy Detail
| Speciality | Neuroradiology |
|---|---|
| Taxonomy | 2085N0700X |
| Licence No | 36110222 |
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Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036110222*1 | IL | -- |
Post Comment/ Review Below
What is the Ajeet D Gordhan's unique identification number?
The Ajeet D Gordhan has been assigned the NPI (National Provider Identifier) Number 1306892369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ajeet D Gordhan's physical address?
The Ajeet D Gordhan is physically located at 2200 Fort Jesse Rd, in the city of Normal, IL, with the postal code 617616286.
What is the area of specialization for Ajeet D Gordhan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ajeet D Gordhan is Neuroradiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085N0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306892369 to Ajeet D Gordhan?
The Centers for Medicare & Medicaid Services originally issued the 1306892369 to Ajeet D Gordhan on 2006-05-25.
As of what date was the information pertaining to Ajeet D Gordhan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ajeet D Gordhan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-11-16.
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