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Prakash Gajera
Vascular & Interventional Radiology Physician in Fort Worth, Texas
NPI 1013448240

Prakash Gajera is a Vascular & Interventional Radiology Physician based in Fort Worth, TX and is specialized in Vascular & Interventional Radiology. Prakash Gajera practices in Fort Worth, TX. The NPI Number for Prakash Gajera is 1013448240 and holds a License No. R9959 (Texas).

The current practice location address for Prakash Gajera is 815 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-321-0404. You can also correspond with Prakash Gajera through the mailing address at 816 W CANNON ST, FORT WORTH, TX - 76104-3146 (mailing address contact number: 817-321-0404).

Location: 815 Pennsylvania Ave, Fort Worth, TX, 76104-3146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013448240
Provider Name
Prakash Gajera
Credential
Provider Entity Type
Individual
Gender
Male
Address
815 Pennsylvania Ave, Fort Worth, TX, 76104-3146
Phone Number
817-321-0404
Fax Number
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
815 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2224
Phone Number
817-321-0404
Fax Number
person
Provider Business Mailing Address Details
Address
815 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2224
Phone Number
817-321-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
R9959 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
(Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R9959 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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