Dr Faryal Abdul Ghaffar, MD | |
1120 S Main St, Suite 100, Grapevine, TX 76051-5543 | |
(817) 416-5554 | |
(817) 416-5556 |
Full Name | Dr Faryal Abdul Ghaffar |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1120 S Main 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 |
---|---|---|---|
1336198308 | NPI | - | NPPES |
100431903 | Medicaid | TX | |
175070502 | Medicaid | TX | |
8S3300 | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K9784 (Texas) | Primary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | K9784 (Texas) | Secondary |
Entity Name | Dallas Pediatrics & Infectious Disease Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386833374 PECOS PAC ID: 2466741806 Enrollment ID: O20160525000761 |
Mailing Address | Practice Location Address |
---|---|
Dr Faryal Abdul Ghaffar, MD 1120 S Main St, Suite 100, Grapevine, TX 76051-5543 Ph: (817) 416-5554 | Dr Faryal Abdul Ghaffar, MD 1120 S Main St, Suite 100, Grapevine, TX 76051-5543 Ph: (817) 416-5554 |
Dr. Elizabeth Schnabl Dickey, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 W State Highway 114 Ste 300, Grapevine, TX 76051 Phone: 972-331-7200 Fax: 972-331-7201 | |
Andrew H Kilgus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051 Phone: 817-488-7573 Fax: 817-488-5096 | |
Vanita D Shori, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051 Phone: 817-347-2530 Fax: 817-488-5096 | |
Gloria Moody, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 817-731-7771 Fax: 817-731-7774 | |
Dr. Mary Anne Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 W State Highway 114 Ste 300, Grapevine, TX 76051 Phone: 972-331-7200 Fax: 972-331-7201 | |
Charles Mike Rios, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 S. Main St. #103, Grapevine, TX 76051 Phone: 817-310-5510 Fax: 817-310-5508 |