=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518209899
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JEMIN N. GAJIPARA MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2013
-----------------------------------------------------
Last Update Date | 04/02/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8210 WALNUT HILL LN SUITE 905
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-4405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-378-7605
-----------------------------------------------------
Fax | 214-253-2250
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9330 LBJ FWY STE 800
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75243-4310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-792-5727
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JEMIN N GAJIPARA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 862-812-2224
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------