| Pannaben H Nangha Md Pllc | |
|
221 Regency Pkwy Suite 125 Mansfield TX 76063-5165 | |
| (817) 477-5884 | |
| (817) 453-8091 |
| Full Name | Pannaben H Nangha Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 Regency Pkwy, Mansfield, Texas |
| Authorized Official Name and Position | Pannaben H Nangha (PRESIDENT) |
| Authorized Official Contact | 8174775884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pannaben H Nangha Md Pllc 221 Regency Pkwy Suite 125 Mansfield TX 76063-5165 Ph: (817) 477-5884 | Pannaben H Nangha Md Pllc 221 Regency Pkwy Suite 125 Mansfield TX 76063-5165 Ph: (817) 477-5884 |
| NPI Number | 1972864486 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 10/13/2015 |
| Medicare PECOS PAC ID | 8729234463 |
|---|---|
| Medicare Enrollment ID | O20120810000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972864486 | NPI | - | NPPES |
| 309379101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N8959 (Texas) | Primary |
| Provider Name | Pannaben H Nangha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699958579 PECOS PAC ID: 5698833762 Enrollment ID: I20120329000769 |
| Provider Name | Chirag Chavda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023314655 PECOS PAC ID: 9638347370 Enrollment ID: I20120712000533 |
| Provider Name | Chaitanya Chavda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710160692 PECOS PAC ID: 4688821549 Enrollment ID: I20120828000527 |
| Provider Name | Rashida C Henderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174843221 PECOS PAC ID: 5890943070 Enrollment ID: I20141216001974 |
| Provider Name | Arun K Amaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528279171 PECOS PAC ID: 6507940947 Enrollment ID: I20150917000921 |
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