Provider Demographics
NPI:1205922390
Name:GAJRAJ, NOOR (MD)
Entity type:Individual
Prefix:
First Name:NOOR
Middle Name:
Last Name:GAJRAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3108 MIDWAY RD
Mailing Address - Street 2:STE 206
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1616
Mailing Address - Country:US
Mailing Address - Phone:972-612-3800
Mailing Address - Fax:972-612-3811
Practice Address - Street 1:3108 MIDWAY RD STE 206
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1616
Practice Address - Country:US
Practice Address - Phone:972-612-3800
Practice Address - Fax:972-612-3811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK9063207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J9619Medicare PIN