Dalal, Ajay
Dalal, Ajay is an individual health care provider with primary practice located at 7460 Wolf River Boulevard , Germantown TN 38138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dalal, Ajay can be contacted via phone (901) 763-0200.Contact Information
Primary practice address
7460 Wolf River Boulevard
Germantown TN 38138
Phone: (901) 763-0200
Fax: (901) 761-4002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E-5634 | Arkansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18205 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36866 | Tennessee |
Profile Details
| NPI number | 1770583239 |
|---|---|
| LBN Legal business name | Dalal, Ajay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Mar 16th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770583239 | NPPES |
| Mississippi | MEDICAID | 00124888 | |
| Mississippi | Other | 4270109 | |
| Mississippi | MEDICAID | 149021001 | |
| Mississippi | MEDICAID | 3879360 |
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