Gavirneni, Madhavi
Gavirneni, Madhavi is an individual health care provider with primary practice located at 2909 Mitchell Blvd , Ft Worth TX 76105-4642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gavirneni, Madhavi can be contacted via phone (817) 625-4254.Contact Information
Primary practice address
2909 Mitchell Blvd
Ft Worth TX 76105-4642
Phone: (817) 625-4254
Fax: (817) 740-8612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 53236 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q8890 | Texas |
Profile Details
| NPI number | 1275897076 |
|---|---|
| LBN Legal business name | Gavirneni, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2012 |
| Last updated | Apr 16th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275897076 | NPPES |
| Tennessee | Other | 3714470 | GROUP MEDICARE |
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