| Mohammad Pakravan, MD | |
|
2660 Gulf Fwy S, League City, TX 77573-6820 | |
| (832) 505-2400 | |
| Not Available |
| Full Name | Mohammad Pakravan |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology - Glaucoma Specialist |
| Location | 2660 Gulf Fwy S, League City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609459239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0009X | Ophthalmology - Glaucoma Specialist | V5114 (Texas) | Primary |
| 207W00000X | Ophthalmology | V5114 (Texas) | Secondary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Pakravan, MD Po Box 650859, Dept, Dept. 710, Dallas, TX 75265-7101 Ph: (409) 266-0728 | Mohammad Pakravan, MD 2660 Gulf Fwy S, League City, TX 77573-6820 Ph: (832) 505-2400 |
Chase Morgan Wilson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1100 Gulf Fwy S Ste 114, League City, TX 77573 Phone: 281-332-3937 | |
Renuka Mopuru, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2660 Gulf Fwy S, Entrance B, League City, TX 77573 Phone: 832-505-2400 Fax: 281-337-0843 | |
Akshaya Kumar Gupta, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1100 Gulf Fwy S Ste 114, League City, TX 77573 Phone: 281-332-3937 | |
Alex Villarreal, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1100 Gulf Fwy S Ste 114, League City, TX 77573 Phone: 281-332-3937 | |
Dr. Bernard Allen Milstein, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1100 Gulf Fwy S Ste 114, League City, TX 77573 Phone: 281-332-3937 |