Individual
MR. RATILAL G GAJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 HIGH ST, SUITE 1A, HOPKINSVILLE, KY 42240-6300
(270) 885-0570
(270) 885-0573
Mailing address
1717 HIGH ST, SUITE 1A, HOPKINSVILLE, KY 42240-6300
(270) 885-0570
(270) 885-0573
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
22180
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315811
ANTHEM
KY
05
—
64221807
—
KY
05
—
65941031
—
KY
Enumeration date
07/13/2005
Last updated
05/09/2008
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