Provider Demographics
NPI:1356848451
Name:GAJULA, PRIANKA (MD)
Entity type:Individual
Prefix:
First Name:PRIANKA
Middle Name:
Last Name:GAJULA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16651 SOUTHWEST FWY STE 370
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2348
Mailing Address - Country:US
Mailing Address - Phone:281-565-1009
Mailing Address - Fax:281-565-2009
Practice Address - Street 1:16651 SOUTHWEST FWY STE 370
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2348
Practice Address - Country:US
Practice Address - Phone:281-565-1009
Practice Address - Fax:281-565-2009
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program