Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AJEET D GORDHAN, M.D.
Active Sole ProprietorDR. AJEET D GORDHAN, M.D. is a Neuroradiology healthcare provider located in NORMAL, Illinois. NPI 1306892369 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · NORMAL, IL
Registration Details
- NPI Number
- 1306892369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.244771999963 yrs)
- Last Updated
- Nov 16, 2016
- Licenses
-
36110222 (IL)36110222 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 FORT JESSE RDSUITE 280NORMAL, IL, 617616286Browse IL providers · Browse ZIP 61761
- Phone
- 3094521788
- Fax
- 3098621302
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Diagnostic Radiology
Other Neuroradiology Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| DR. NAVEED YOUSUF | M.D. | 1487609822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.