Mrs Reenu Sara Eapen Rose, | |
411 N. Washington Ave., Suite 3300, Dallas, TX 75246-1774 | |
(214) 824-9600 | |
(214) 824-9601 |
Full Name | Mrs Reenu Sara Eapen Rose |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 411 N. Washington Ave., Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881663342 | NPI | - | NPPES |
149789307 | Medicaid | TX | |
8L16162 | Other | TX | MEDICARE ID -INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | L0148 (Texas) | Primary |
Entity Name | Fetal Care Consultants, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578883187 PECOS PAC ID: 0749466175 Enrollment ID: O20110518000787 |
Mailing Address | Practice Location Address |
---|---|
Mrs Reenu Sara Eapen Rose, Po Box 192647, Dallas, TX 75219-8524 Ph: (214) 824-9600 | Mrs Reenu Sara Eapen Rose, 411 N. Washington Ave., Suite 3300, Dallas, TX 75246-1774 Ph: (214) 824-9600 |
Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438 | |
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754 | |
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180 | |
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437 | |
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604 | |
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130 | |
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486 |