Individual
ANJALI PARGAONKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L3424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170103901
—
TX
05
—
170103904
—
TX
05
—
170103905
—
TX
05
—
183565401
—
TX
01
—
8K6432
BCBS OF TEXAS
—
Enumeration date
11/04/2005
Last updated
03/01/2022
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