Provider Demographics
NPI:1245674035
Name:GAJJAR, SHEFALI RAJENDRA (MD)
Entity type:Individual
Prefix:
First Name:SHEFALI
Middle Name:RAJENDRA
Last Name:GAJJAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:599 WEST STATE STREET
Mailing Address - Street 2:STE 103
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2567
Mailing Address - Country:US
Mailing Address - Phone:267-880-2710
Mailing Address - Fax:215-340-3575
Practice Address - Street 1:599 WEST STATE STREET
Practice Address - Street 2:STE 103
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:267-880-2710
Practice Address - Fax:215-340-3575
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2021-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4641612085R0202X
FL207402085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology