| Dr Ravi Mydur, MD | |
|
4343 N Josey Ln, Carrollton, TX 75010-4603 | |
| (972) 492-1010 | |
| (479) 242-1990 |
| Full Name | Dr Ravi Mydur |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 4343 N Josey Ln, Carrollton, 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 |
|---|---|---|---|
| 1215198163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | BP2-0032086 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Carrollton | Carrollton, TX | Hospital |
| Baylor Scott & White Medical Center-white Rock | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Merit Radiology Pllc | 3274970256 | 23 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | West Houston Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356389605 PECOS PAC ID: 5294721270 Enrollment ID: O20040423001012 |
| Entity Name | Consultants In Radiology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922034602 PECOS PAC ID: 9931157609 Enrollment ID: O20050110000398 |
| Entity Name | Edinburg Radiology, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982827150 PECOS PAC ID: 6305866567 Enrollment ID: O20051202000082 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20121031000252 |
| Entity Name | Imed Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063809465 PECOS PAC ID: 6608103155 Enrollment ID: O20190807001189 |
| Entity Name | Merit Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326819145 PECOS PAC ID: 3274970256 Enrollment ID: O20240326003070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravi Mydur, MD 5707 Jenny Lind Rd, Fort Smith, AR 72908-7435 Ph: (479) 452-9416 | Dr Ravi Mydur, MD 4343 N Josey Ln, Carrollton, TX 75010-4603 Ph: (972) 492-1010 |