Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 38376 | TN |
Y | 2080P0208X | Pediatric Infectious Diseases | 57382 | TN |
NPI | 1124021258 |
---|---|
Provider Name | Dr. Aditya H. Gaur |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 17/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0076040 | (05) | NJ |
05925542 | (05) | MS |
154140001 | (05) | AR |
1622834 | (05) | LA |
200031040A | (05) | OK |
200803620A | (05) | IN |
209030204 | (05) | MO |
422400000 | (05) | ME |
5440118 | (05) | TN |
64082233 | (05) | KY |
I12479 | (02) | TN |