Shailesh Gupta, MD | |
12 Cadena Dr, Galveston, TX 77554-6329 | |
(409) 740-1558 | |
(409) 740-1558 |
Full Name | Shailesh Gupta |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 12 Cadena Dr, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295781078 | NPI | - | NPPES |
200533870 | Medicaid | IN | |
11501477 | Other | IN | CAQH NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 01054492A (Indiana) | Primary |
Entity Name | East Texas Medical Center Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Mailing Address | Practice Location Address |
---|---|
Shailesh Gupta, MD 12 Cadena Dr, Galveston, TX 77554-6329 Ph: (409) 740-1558 | Shailesh Gupta, MD 12 Cadena Dr, Galveston, TX 77554-6329 Ph: (409) 740-1558 |
Dr. Alvin Carlos Camacho, MD Radiology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194 | |
Morton H. Leonard Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 38 Lakeview Dr, Galveston, TX 77551 Phone: 409-692-3345 | |
Dr. Roberto Nonesupplied Zamudio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194 | |
Faustino C. Guinto Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Eric Michael Walser, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Radiology, 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0100 Fax: 409-772-8219 | |
Gregory Chaljub, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Tomas Eduardo Uribe Acosta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |