Dr Madhavi Gavirneni, MD | |
2909 Mitchell Blvd, Ft Worth, TX 76105-4642 | |
(817) 625-4254 | |
(817) 740-8612 |
Full Name | Dr Madhavi Gavirneni |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2909 Mitchell Blvd, Ft Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275897076 | NPI | - | NPPES |
3714470 | Other | TN | GROUP MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 53236 (Tennessee) | Secondary |
208000000X | Pediatrics | Q8890 (Texas) | Primary |
Entity Name | North Texas Area Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568420800 PECOS PAC ID: 9931124450 Enrollment ID: O20051221000461 |
Mailing Address | Practice Location Address |
---|---|
Dr Madhavi Gavirneni, MD 2909 Mitchell Blvd, Fort Worth, TX 76105-4642 Ph: (817) 625-4254 | Dr Madhavi Gavirneni, MD 2909 Mitchell Blvd, Ft Worth, TX 76105-4642 Ph: (817) 625-4254 |
Dr. Bert Milton Franks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6812 Riverridge Rd, Ft Worth, TX 76116 Phone: 817-737-8322 | |
Dr. Moneta B De Castro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4445 Oak Park Lane, #201, Ft Worth, TX 76109 Phone: 817-922-0798 Fax: 817-922-0976 | |
Dr. Burton W Schwartz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Drive, Brown Lupton Health Center Tcu, Ft Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
Sudath Gunadeera Rannulu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4759 South Fwy, Ste 101, Ft Worth, TX 76115 Phone: 972-293-6300 Fax: 972-293-6301 |