Individual
DR. AJAY PACHIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2608 MCDONALD RD, TYLER, TX 75701-5934
(903) 595-5514
Mailing address
2608 MCDONALD RD, TYLER, TX 75701-5934
(903) 595-5514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44632
KY
207R00000X
Internal Medicine Physician
MD429445
PA
207RC0000X
Cardiovascular Disease Physician
44632
KY
207RC0000X
Cardiovascular Disease Physician
Q9872
TX
207RI0011X
Interventional Cardiology Physician
Primary
Q9872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000730354
BCBS
KY
01
—
P00977431
RR MEDICARE
KY
Enumeration date
08/14/2006
Last updated
04/26/2017
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