Provider Demographics
NPI:1407971856
Name:ARYANGAT, AJIKUMAR V (MD)
Entity Type:Individual
Prefix:
First Name:AJIKUMAR
Middle Name:V
Last Name:ARYANGAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3417 GASTON AVE
Mailing Address - Street 2:SUITE 980
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2016
Mailing Address - Country:US
Mailing Address - Phone:469-800-8020
Mailing Address - Fax:469-800-8030
Practice Address - Street 1:3417 GASTON AVE
Practice Address - Street 2:SUITE 980
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2016
Practice Address - Country:US
Practice Address - Phone:469-800-8020
Practice Address - Fax:469-800-8030
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNONE207RE0101X
TXN3459207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX343451YKY6Medicare UPIN