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
Phone: (479) 725-6801
Fax: (479) 725-6577
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518245828 | NPPES |
Arkansas | MEDICAID | 224912001 | |
Arkansas | Other | Q1150 | |
Arkansas | Other | 018864 |
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