Provider Demographics
NPI:1730115106
Name:GAJJAR, AAKASH HASU (MD)
Entity Type:Individual
Prefix:
First Name:AAKASH
Middle Name:HASU
Last Name:GAJJAR
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 1:7789 SOUTHWEST FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1832
Mailing Address - Country:US
Mailing Address - Phone:713-807-8921
Mailing Address - Fax:
Practice Address - Street 1:7789 SOUTHWEST FWY STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1832
Practice Address - Country:US
Practice Address - Phone:281-994-7403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7542208600000X, 208C00000X
OK24058208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1942241146OtherMEDICARE
OK34156OtherOK BUREAU OF NARCOTICS
OK34156OtherOK BUREAU OF NARCOTICS