Udaya Gavini, MD | |
855 Montgomery, Fort Worth, TX 76107-2553 | |
(817) 920-7488 | |
(870) 920-7456 |
Full Name | Udaya Gavini |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 855 Montgomery, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942382080 | NPI | - | NPPES |
8BC815 | Other | TX | BCBS |
190089601 | Medicaid | TX | |
P00642501 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E4984 (Arkansas) | Secondary |
207R00000X | Internal Medicine | M5180 (Texas) | Primary |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Entity Name | Health And Human Services Commission |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Mailing Address | Practice Location Address |
---|---|
Udaya Gavini, MD Po Box 99335, Fort Worth, TX 76199-0335 Ph: (817) 920-7488 | Udaya Gavini, MD 855 Montgomery, Fort Worth, TX 76107-2553 Ph: (817) 920-7488 |
Dr. Nawal Shaikh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Main St Ste 502, Fort Worth, TX 76104 Phone: 817-702-8400 Fax: 817-702-3982 | |
Charles A Carlton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Elie B Choufani, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 | |
Cheryl K Mcdonald, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 College Ave, Fort Worth, TX 76104 Phone: 817-810-9810 Fax: 817-810-9815 |