National Provider Identifier

Deepakraj Gajanana, M.D

Deepakraj Gajanana, M.D is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician in Elmira, NY and a listed phone number of (607) 737-4130.

NPI 1457527962Elmira, NYInterventional Cardiology Physician

Profile Overview

NPI
1457527962
Provider Type
Individual
Primary Specialty
Interventional Cardiology Physician
Enumeration Date
May 05, 2008
Last Updated
November 24, 2020

Practice Location

  • 600 Roe Avenue, Suite 1G
  • Elmira, NY 14905-1629

Phone: (607) 737-4130

Mailing Address

  • 571 Saint Josephs Blvd
  • Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Interventional Cardiology Physician (207RI0011X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1457527962
Entity Type
Individual
Last Name
Gajanana
First Name
Deepakraj
Name Prefix
Dr.
Credential
M.D
Mailing Street Address
571 Saint Josephs Blvd
Mailing Address Line 2
Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 271-2099
Practice Street Address
600 Roe Avenue, Suite 1G
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4130
Practice Fax
(607) 737-4530
Enumeration Date
May 05, 2008
Last Updated
November 24, 2020
Sex
Male
Sole Proprietor
No
Certification Date
November 24, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Interventional Cardiology Physician (207RI0011X), Internal Medicine Physician (207R00000X)