Individual
DR. AMOGH GAJANKUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801
(256) 265-5864
(256) 265-5865
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-5864
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
37926
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME159818
FL
207RI0200X
Infectious Disease Physician
37926
AL
Other
Enumeration date
09/02/2012
Last updated
02/03/2023
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