Provider Demographics
NPI:1205063005
Name:GAJERA, BHAVINKUMAR B (MD)
Entity type:Individual
Prefix:
First Name:BHAVINKUMAR
Middle Name:B
Last Name:GAJERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:79 HUDSON ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5638
Mailing Address - Country:US
Mailing Address - Phone:201-222-8808
Mailing Address - Fax:201-222-8803
Practice Address - Street 1:79 HUDSON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5638
Practice Address - Country:US
Practice Address - Phone:201-222-8808
Practice Address - Fax:201-222-8803
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2017-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA093815002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry