Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 22022 | TX |
N | 1223G0001X | General Practice | DE00009838 | WA |
N | 213EG0000X | General Practice | DE00009838 | WA |
NPI | 1548274806 |
---|---|
Provider Name | Dr. Ajay Dhankhar |
First Address | Frisco, TX 75036-3992 |
Second Address | Frisco, TX 75036-3992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 01/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5047493 | (05) | WA |