Manjushree Gautam in Fort Worth - Transplant Hepatology
Manjushree Gautam - NPI 1831172725
Manjushree Gautam is a Transplant Hepatology in Fort Worth, Texas. Manjushree Gautam practices all healthcare services and medical treatments related to Transplant Hepatology. The NPI Number for Manjushree Gautam is 1831172725. The last update date is 2015-07-21.
Manjushree Gautam's current location address is 1250 8th Ave, Fort Worth, Texas. You can contact this provider via phone number 8179224675 and fax number 8179224645. The mailing address for Manjushree Gautam is 1250 8th Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manjushree Gautam |
|---|---|
| Address | 1250 8th Ave, Fort Worth, Texas |
| Phone Number | 8179224675 |
| Fax Number | 8179224645 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831172725 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2015-07-21 |
Provider Mailing Address Detail
| Address | 1250 8th Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044124 |
| Phone Number | 8179224675 |
| Fax Number | 8179224645 |
Provider's Primary Taxonomy Detail
| Speciality | Transplant Hepatology |
|---|---|
| Taxonomy | 207Rt0003X |
| Licence No | N6309 |
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Definition: An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assess |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8BN847 | TX | BCBSTX | |
| 217199301 | TX | -- | |
| 935554 | AZ | -- | |
| 86080015085259D | AZ | TRIWEST | |
| P00278312 | AZ | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Manjushree Gautam by the Centers for Medicare & Medicaid Services?
The Manjushree Gautam has been assigned the NPI (National Provider Identifier) 1831172725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Manjushree Gautam is geographically located?
The Manjushree Gautam is physically situated at the following location: 1250 8Th Ave, Fort Worth, TX, 761044124.
What is the Manjushree Gautam's specialty and taxonomy code?
The Manjushree Gautam's specialty is Transplant Hepatology, and the corresponding taxonomy code is 207Rt0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831172725 to Manjushree Gautam?
The Manjushree Gautam received its 1831172725 assignment from the Centers for Medicare & Medicaid Services on 2005-11-23.
As of what date were the details related to Manjushree Gautam most recently updated or revised?
The information pertaining to Manjushree Gautam, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-21.