| Srikanth Thyagaraj Jyothinagaram, MD | |
|
1650 W College St, Suite 150, Grapevine, TX 76051-3565 | |
| (817) 388-3440 | |
| (817) 388-3441 |
| Full Name | Srikanth Thyagaraj Jyothinagaram |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1650 W College St, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306057856 | NPI | - | NPPES |
| 5186424 | Medicaid | MI | |
| SJ089867 | Other | MI | MICHIGAN LICENSE |
| 1306057856 | Medicaid | MI | |
| 700E012740 | Other | MI | BCBSM GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301089867 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 4301089867 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | Q2456 (Texas) | Primary |
| 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 | Lonestar Hospital Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
| Entity Name | Star Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972059392 PECOS PAC ID: 2860773389 Enrollment ID: O20161221001053 |
| Entity Name | Round Table Specialist Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497152268 PECOS PAC ID: 1254754609 Enrollment ID: O20200702000716 |
| Entity Name | Star Md Of Arlington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124894308 PECOS PAC ID: 8628428265 Enrollment ID: O20231222002125 |
| Entity Name | Star Ed Of Arlington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801662838 PECOS PAC ID: 7315398385 Enrollment ID: O20240104001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Srikanth Thyagaraj Jyothinagaram, MD 1650 W College St, Suite 150, Grapevine, TX 76051-3565 Ph: (817) 388-3440 | Srikanth Thyagaraj Jyothinagaram, MD 1650 W College St, Suite 150, Grapevine, TX 76051-3565 Ph: (817) 388-3440 |
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 |