MEDICARE: DR. SAI HEMANTH CHAVALA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	P9057	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548391311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAI HEMANTH CHAVALA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 28971
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-2041
Country	:	US
Telephone Number	:	214-233-6170
Fax Number	:	214-241-4947

Provider Business Practice Location Address
First Line	:	2007 N JEFFERSON AVE STE 102
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2336
Country	:	US
Telephone Number	:	214-233-6170
Fax Number	:	214-241-4947

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	01/16/2026

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