Ratilal G Gajera, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

22180 Issued in KY

Practice address

1717 High St
Suite 1a
Hopkinsville, KY 42240-6300

Phone

(270) 885-0570

Fax

(270) 885-0573

NPI assigned

Jul 13, 2005

Last updated

May 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1275531162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST",
            "address_2": "SUITE 1A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-885-0570",
            "fax_number": "270-885-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST",
            "address_2": "SUITE 1A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-885-0570",
            "fax_number": "270-885-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJERA",
        "first_name": "RATILAL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "22180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941031",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000315811",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64221807",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakeira Frye
• Kecia Fulcher
• Joseph Terry Fuqua, M.D.
• Gainesville Manor
• Gajera & Patel PLLC
• Panagiotis Galanopoulos, M.D.
• Amber R Galland, LPCC
• Kathy Gallaway, AGACNP-BC
• Gamma Acquisition, Inc. (Lifeline Home Health of Western KY)
• Gregory A Gapp, MD

• Medical Oncology Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Medical Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.