PRAKASH GAJERA NPI 1013448240

NPI Information

  • NPI: 1013448240
  • Provider Name: PRAKASH GAJERA
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 627 TURTLE CREEK DR
    TYLER, TX
    ZIP 75701
  • Phone: (817) 321-0404

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NPI Details

Prakash Gajera is a vascular and interventional radiology radiology in Tyler, TX with 8 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Prakash Gajera NPI is 1013448240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2017

The provider's business location address is:

627 TURTLE CREEK DR
TYLER, TX
ZIP 75701-832
Phone: (817) 321-0404

The NPI 1013448240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 9/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyR9959TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramTEXASNo
32085R0204XRadiologyVascular & Interventional RadiologyR9959TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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