Individual
DR. MARK GAJJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1180 SETON PKWY STE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Mailing address
1180 SETON PKWY STE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-058132
IL
207RC0000X
Cardiovascular Disease Physician
R9755
TX
207RI0011X
Interventional Cardiology Physician
Primary
R9755
TX
Other
Enumeration date
10/01/2010
Last updated
10/26/2020
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