Gajare, Anil V

Gajare, Anil V is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gajare, Anil V can be contacted via phone (479) 725-6801.

Contact Information

Primary practice address
2601 Gene George Blvd Springdale AR 72762-0845
Fax: (479) 725-6577
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q1150 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 018864 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-11028 Arkansas

Profile Details

NPI number 1518245828
LBN Legal business name Gajare, Anil V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Mar 22nd, 2018 - about 6 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 1518245828 NPPES
Arkansas MEDICAID 224912001
Arkansas Other Q1150
Arkansas Other 018864

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