Individual
DR. ANIL V GAJARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6801
(479) 725-6577
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
018864
ME
208000000X
Pediatrics Physician
Primary
E-11028
AR
208000000X
Pediatrics Physician
Q1150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018864
ME LICENSE
ME
05
—
224912001
—
AR
01
—
Q1150
TEXAS MEDICAL BOARD
TX
Enumeration date
08/03/2011
Last updated
03/22/2018
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