Gajapathi, Sharavana Kumar

Gajapathi, Sharavana Kumar is an individual health care provider with primary practice located at 1115 Us Highway 259 S , Henderson TX 75654-3629. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Gajapathi, Sharavana Kumar can be contacted via phone (903) 392-8251.

Contact Information

Primary practice address
1115 Us Highway 259 S Henderson TX 75654-3629
Phone: (903) 392-8251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 24289 Texas
Dental Providers / Dentist 122300000X D12360 Minnesota
Dental Providers / Pediatric Dentistry 1223P0221X 24289 Texas

Profile Details

NPI number 1407045735
LBN Legal business name Gajapathi, Sharavana Kumar
Credentials D.D.S, M.P.H
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Jul 1st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407045735 NPPES
Texas MEDICAID 206661513
Texas MEDICAID 203375501

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