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 |
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 |
---|---|---|---|
207W00000X | Ophthalmology | 48304 (Texas) | Primary |
207W00000X | Ophthalmology | E-15520 (Arkansas) | Secondary |
Entity Name | Utmb Faculty Group Practice |
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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 | |
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 |