Individual
DR. ALKESH BHUPENDRA GAJJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 CHERAW STREET, BENNETTSVILLE, SC 29512
(843) 544-4060
(843) 454-0635
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101255916
VA
2084P0800X
Psychiatry Physician
Primary
82278
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
08/24/2010
Last updated
08/24/2020
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