Dr Ramarao Gajula, MD | |
1411 College Dr, Texarkana, TX 75503-3533 | |
(903) 791-1110 | |
Not Available |
Full Name | Dr Ramarao Gajula |
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Gender | Male |
Speciality | Pediatrics |
Location | 1411 College Dr, Texarkana, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801843297 | NPI | - | NPPES |
201782313 | Other | NJ | TAX IDENTIFICATION NUMBER |
7610904 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 25MA0066859 (New Jersey) | Secondary |
208000000X | Pediatrics | 2663 (Texas) | Primary |
Entity Name | Inpatient Pediatric Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982096079 PECOS PAC ID: 4486975109 Enrollment ID: O20150608000138 |
Mailing Address | Practice Location Address |
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Dr Ramarao Gajula, MD Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782 | Dr Ramarao Gajula, MD 1411 College Dr, Texarkana, TX 75503-3533 Ph: (903) 791-1110 |
Dr. Ann Marie Rose Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4503 Texas Blvd., Texarkana, TX 75503 Phone: 903-792-4003 Fax: 903-794-6743 | |
Debra Shanelle Wright-bowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Christina A Payne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Zachariah W. King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Cheryl L Saul-sehy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Cindy R Porter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Tracie Shenelle Calloway-lawson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4503 Texas Blvd, Texarkana, TX 75503 Phone: 903-792-4003 Fax: 903-792-2230 |