| Bob M Gajraj Md Pa | |
|
4966 N. Pine Island Rd Lauderhill FL 33351 | |
| (954) 345-6340 | |
| Not Available |
| Full Name | Bob M Gajraj Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4966 N. Pine Island Rd, Lauderhill, Florida |
| Authorized Official Name and Position | Mohamed H. Gajraj (M.D.) |
| Authorized Official Contact | 7548121000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob M Gajraj Md Pa 10000 W.sample Road Suite A Coral Springs FL 33065 Ph: (754) 812-1000 | Bob M Gajraj Md Pa 4966 N. Pine Island Rd Lauderhill FL 33351 Ph: (954) 345-6340 |
| NPI Number | 1881877579 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881877579 | NPI | - | NPPES |
| 063237600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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