IndividualActive
Ajeet Gordhan, M.D.
NPI 1306892369 · Neuroradiology Physician · Normal, IL
Provider details
- NPI number
- 1306892369
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36110222 (IL)
Practice location
2200 Fort Jesse Rd
Suite 280
Normal, IL 61761-6286
Phone: (309) 452-1788
Fax: (309) 862-1302
Mailing address
2200 Fort Jesse Rd
Normal, IL 61761-6286
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2016-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.