Individual
DR. PRATIBHA GAJANAN AIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4301 W MARKHAM ST, SLOT 500, LITTLE ROCK, AR 72205-7101
(501) 686-5135
Mailing address
5354 WINDSOR GREEN CT SE, MABLETON, GA 30126-5698
(501) 454-2882
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
058431
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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