| Dr Asa Deep Koganti, MD | |
|
1250 8th Ave Ste 135, Fort Worth, TX 76104-4156 | |
| (817) 921-2153 | |
| (214) 579-6993 |
| Full Name | Dr Asa Deep Koganti |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 24 Years |
| Location | 1250 8th Ave Ste 135, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831406016 | NPI | - | NPPES |
| Q5458 | Other | TX | TX MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | Q5458 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rrc East Fort Worth | Fort worth, TX | Dialysis facility |
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Medical City Fort Worth | Fort worth, TX | Hospital |
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dallas Nephrology Associates | 3870403819 | 140 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Dallas Nephrology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861440109 PECOS PAC ID: 3870403819 Enrollment ID: O20040624000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Asa Deep Koganti, MD 1505 Lbj Fwy Ste 700, Dallas, TX 75234-6065 Ph: (214) 366-6012 | Dr Asa Deep Koganti, MD 1250 8th Ave Ste 135, Fort Worth, TX 76104-4156 Ph: (817) 921-2153 |
Gayane Tumyan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Charles A Carlton, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Christian Nguyen, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 | |
Elie B Choufani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 |