| Monalisa M Mitra, DO | |
|
4100 Heritage Ave, Ste 106, Grapevine, TX 76051-5714 | |
| (817) 283-1112 | |
| (817) 283-1116 |
| Full Name | Monalisa M Mitra |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 4100 Heritage Ave, Grapevine, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710097456 | NPI | - | NPPES |
| 184283303 | Medicaid | TX | |
| 184283302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M4363 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Entity Name | Inpatient Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285696898 PECOS PAC ID: 1759379092 Enrollment ID: O20040504001613 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Excel Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558706119 PECOS PAC ID: 4385884246 Enrollment ID: O20130717000570 |
| Entity Name | Dallas Medical Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818 |
| Mailing Address | Practice Location Address |
|---|---|
| Monalisa M Mitra, DO 4100 Heritage Ave Ste 106, Grapevine, TX 76051-5716 Ph: (817) 283-1112 | Monalisa M Mitra, DO 4100 Heritage Ave, Ste 106, Grapevine, TX 76051-5714 Ph: (817) 283-1112 |
Raul A Santos Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Suite 680, Grapevine, TX 76051 Phone: 817-912-8400 Fax: 817-912-8410 | |
Tania Purkayastha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 130, Grapevine, TX 76051 Phone: 214-689-7806 Fax: 214-689-5970 | |
Dr. Vikas Aurora, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1643 Lancaster Dr, 202, Grapevine, TX 76051 Phone: 817-251-9080 Fax: 817-251-9082 | |
Ashley Janae Fagan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524 | |
Dr. Khaliq Abdul Rauf, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 W College St, Suite 150, Grapevine, TX 76051 Phone: 817-388-3440 Fax: 817-388-3440 | |
Dr. Amyn Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Heritage Ave Ste 102, Grapevine, TX 76051 Phone: 469-251-0589 Fax: 817-381-3321 | |
John Andrew Osborne, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3801 William D Tate Ave Ste 850, Grapevine, TX 76051 Phone: 817-310-3070 |