Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 19678 | TN |
NPI | 1144223280 |
---|---|
Provider Name | Dr. Amar J Gajjar |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 16/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00114605 | (05) | MS |
0030538 | (05) | NJ |
009914300 | (05) | AL |
0530063 | (05) | IA |
100249681-00 | (05) | NE |
10067820A | (05) | KS |
104689590 | (05) | MI |
126572001 | (05) | AR |
1653411 | (05) | LA |
200181340A | (05) | IN |
2004468 | (05) | OH |
207838111 | (05) | MO |
3088948 | (05) | TN |
422400000 | (05) | ME |
441846883-2 | (05) | IL |
64921109 | (05) | KY |
672249326A | (05) | GA |
82736863 | (05) | NM |
F97162 | (02) | TN |