Dr Kathy Ravanbakhsh, DO | |
2700 E 29th St Ste 100, Bryan, TX 77802-2507 | |
(979) 774-3041 | |
(979) 774-3053 |
Full Name | Dr Kathy Ravanbakhsh |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 26 Years |
Location | 2700 E 29th St Ste 100, Bryan, 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 |
---|---|---|---|
1790739167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036-110986 (Illinois) | Secondary |
208800000X | Urology | M8941 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Health Center | Bryan, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Regional Health Center | 5294727921 | 150 |
Entity Name | St Joseph Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathy Ravanbakhsh, DO 2700 E 29th St Ste 100, Bryan, TX 77802-2507 Ph: (979) 774-3041 | Dr Kathy Ravanbakhsh, DO 2700 E 29th St Ste 100, Bryan, TX 77802-2507 Ph: (979) 774-3041 |
Dr. Charles Kevin Peirce, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3201 University Dr E, Ste 370, Bryan, TX 77802 Phone: 979-731-8660 | |
Dr. Robin Rashmi Bhavsar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 100, Bryan, TX 77802 Phone: 979-774-3041 Fax: 979-774-3053 | |
Mr. Alan Keith Young, M. D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1404 Bristol St, Bryan, TX 77802 Phone: 979-779-6615 Fax: 979-823-2785 | |
Dr. Samuel Hills Harrison, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E, Suite 370, Bryan, TX 77802 Phone: 979-731-8660 | |
Evan Lacefield, Urology Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 100, Bryan, TX 77802 Phone: 979-774-3041 Fax: 979-774-3053 | |
Dr. Ralph Raymond Young Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1404 Bristol St, Bryan, TX 77802 Phone: 979-779-6615 Fax: 979-823-2785 |