Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | K9274 | TX |
NPI | 1033119748 |
---|---|
Provider Name | Dr. Leka Gajula |
First Address | Houston, TX 77271-1115 |
Second Address | Sugar Land, TX 77479-2345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 18/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G48078 | (02) |