Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHARAVANA KUMAR GAJAPATHI, D.D.S, M.P.H
ActivePediatric Dentistry · HENDERSON, TX
Registration Details
- NPI Number
- 1407045735
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2007 (18.524944782829 yrs)
- Last Updated
- Jul 1, 2020
- Licenses
-
24289 (TX)D12360 (MN)24289 (TX)
Practice Information
- Address
-
1115 US HIGHWAY 259 SHENDERSON, TX, 756543629Browse TX providers · Browse ZIP 75654
- Phone
- 9033928251
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dentist
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.