Shaila Sampat Gavande, MD is a
Pediatrics physician based in Fortworth, Texas. Shaila Sampat Gavande is licensed to practice in Texas (license number E4348) and her current practice location is 2245 58th St, Thomas Moore Health Clinic, Fortworth, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 285-6269.
NPI number for Shaila Sampat Gavande is 1043228463 and her current mailing address is 4501 Upvalley Court, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043228463.
Physician's Profile
Full Name | Shaila Sampat Gavande |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2245 58th St, Fortworth, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043228463
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Shaila Sampat Gavande such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043228463 | NPI | - | NPPES |
E4348 | Other | TX | TEXAS LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E4348 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaila Sampat Gavande is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shaila Sampat Gavande, MD 4501 Upvalley Court, Austin, TX 78731 Ph: (512) 451-1400 | Shaila Sampat Gavande, MD 2245 58th St, Thomas Moore Health Clinic, Fortworth, TX 76544 Ph: (254) 285-6269 |
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