Sharavana Kumar Gajapathi D.D.S, M.P.H

NPI 1407045735 - Dentist - 122300000X

NPI Details
NPI 1407045735
Gender Male
Enumeration Date 10/23/2007
Last Updated 01/10/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1030 N CARRIER PKWY
GRAND PRAIRIE TX, 75050-3301, US
Phone (214) 412-3891
Fax
Business Location
1115 US HIGHWAY 259 S
HENDERSON TX, 75654-3629, US
Phone (903) 392-8251
Fax (903) 392-8207
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D12360
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According to our database, Sharavana Kumar Gajapathi D.D.S, M.P.H NPI is 1407045735, taxonomy code is 122300000X and license number is D12360, license state is located at Minnesota. Sharavana Kumar Gajapathi D.D.S, M.P.H physically located at 1030 N Carrier Pkwy, Grand Prairie TX, 75050-3301. NPI Number Sharavana Kumar Gajapathi D.D.S, M.P.H has the Individual type.

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1407045735 NPI number is provided on an as is basis without warranty of any kind. 1407045735 is maintained by the National Plan & Provider Enumeration System. The contents of Sharavana Kumar Gajapathi D.D.S, M.P.H are for informational purposes only.