Provider Demographics
NPI:1376780429
Name:GAJJAR, KAVITA ARVINDKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:ARVINDKUMAR
Last Name:GAJJAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:877-800-5722
Mailing Address - Fax:512-869-2940
Practice Address - Street 1:802 AVENUE J
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5125
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:830-693-2481
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2021-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY249620208000000X
TXQ7193208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics