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Individual

DR. GAJANAN VISHWANATH GAITONDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 JOLLEY ST, UVALDE, TX 78801-4815
(830) 278-4568
(830) 278-4569
Mailing address
101 JOLLEY ST, UVALDE, TX 78801-4815
(830) 278-4568
(830) 278-4569

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G1011
TX
208D00000X
General Practice Physician
G1011
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099989903
TX
Enumeration date
10/21/2006
Last updated
08/06/2012
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