Ajay Gaalla
Interventional Cardiology Internist - Cardiovascular Disease
2104 Patterson Drive
Victoria
, Texas 77901
Ajay Gaalla
Interventional Cardiology Internist - Cardiovascular Disease
2104 Patterson Drive
Victoria
, Texas 77901
(361) 580-2201
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Ajay Gaalla
- 2104 Patterson Drive
- Victoria, TX
- Zip : 77901
- Fax : (361) 580-2201
- Phone : (361) 580-2200
Second Address
- Ajay Gaalla
- 2104 Patterson Drive
- Victoria, TX
- Zip : 77901
- Fax : (361) 580-2201
- Phone : (361) 580-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | J4134 | TX |
| N | 207RI0011X | Interventional Cardiology | J4134 | TX |
National Provider Identifier
| NPI | 1104837772 |
|---|---|
| Provider Name | Ajay Gaalla |
| First Address | Victoria, TX 77901 |
| Second Address | Victoria, TX 77901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 13/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 113733304 | (05) | TX |
| 8BF139 | BCBS (01) | TX |
| 8DD946 | BCBS (01) | TX |
| G69816 | (02) | |
| G69816 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.